The French chirurgerye, ... 1597

Rar/ IF Eyj
ALY C/
F r enche Chi irurgery «

/ orallthe manualle operations of
/ Chirurgcrye, vvith divers, & ſundryc
Figures, and amongſt the reſt,certayne
nuctovynde Inſtrumentes, veryc
neccſlarye toall the opera-
tioncs of Chirur-

2CIyec.

Throneh Taqves Gvillemeau,of Orleans or
dinarye Chirurgt: me tothe hinge, and
[Woren mm the Citye of Parts,

And novv truelve trantlated out of
Dutch into Englit he by A.M.

IMPRINTED

At Dort by 1/447 Camm.
Ad. D. Ac ,

— —

"*. p———M

—

=-(|
IT —

_—

\ TINETED

OO OOONNG

, ' $ 4,

— — —
AQA24T)>.

FETFEF FEFEG HITS
Y MM OSESY c-

-

_ STS SS TIT.

SL _=
a — O— —— —— ——
; AJLJILILY'YY”

” D FOR i
| 4's -a—aeD _
. We * er ee (ll. (44%

TT. T .

btn dn be bonnet hn dkbld

WR W a '
WO S

_ = — —_ —— —— 8 *
x ,

TIO TIT HE MOST

HIGH, MIGHTIE. RO Y-

alle,and Vitorioule Princeſle,the moſt Chriſtane,

and Virtuoſc defendrefle, of the lincere, & true
Chriſtiane Religione 4

LADYE ELISABETH
By the grace of God,Q ueene of Englande, Fraunce,

and lrelande ec.

Oft graciouse Queene , your Royalle 4” is not i2norante (/

truſte) of the greate icrvices, vvhich throughe, the handes, of experte Chyrur

gians, opcratinge on Mans bodye, are oftercde as (vvecte imellin ge lacrifices, vp
into the noſtrells, of the omnipotet, & Longevalle Emperiourc of the Culelti

alle influences, 'VVherofalloall renoumanede, & providente Cxtariſtes, ha-

ve dilligentlyc providede,and furnif hede themielves, vyhen as they are vvounded, by theire me-
anes,andayde (next vnto God) to be curede, and have of ther health reſtaurarione . 1coulde nor
therfore (beinge alſo incitatede, and cou nceledethery nto by divers and ſundryec of my frendes, &
vvellyvillers) omitt this boocke, compolede by the moſt experte, and verye learnede Chyrurgi

anc M*©Iaques Guillemecau addictede Chyrurgian to the Kinge of Fraunce, of the yvhich (vvith-
outdoubte) the French natione,doc reape greate ſervice, and commoditve therof,, and therfore
I have for the ſervice and vrility of your Renoumnede Maieſtyes ſubicttes, & poeple, and alloro
the commoditye of our contrye (beinge vnitede inthe bonde of amitye together) vvithall expe-
ditione poſſible for me cautede it to be tran(latede both into Englithe, and Lovvdurch becaute
thatall yonger,and iunior Chyrurgians, might hcerin behould, and vievve, (as ina rcetiplendente
Lookingc-glaſle) the molt parte,and principalle Inftrumentes of Chyrurgerycal!io vvith a veryc
excellcnte methode,anddodrine,tor all the clpecialle operations, vvhicha Chyrurgianc (or any
other man beingein neceſlitye) &@her by lande, or by vvater, might have any victor. And icing
that there is noc King, nor Prince on carth , vvhich vvith ſuch tervent delire,and ftidelityc ende.
vourcth byall mcanes poſſible, to maytayne,and protectagthe health and vvealth, both of bodye
and ſoule of theire ſubiectes, and poeple,as your (moſt Illuſtriouſe M) doth for your peculiare
inhabitanres, beinge of God thervnto conſtitutede ,and ordaynede. The excellence of this booc-
ke, hath therforc, incitatede, &as it vvcarc copellede me ro vic this audacitye (in tigne ot gratitu-
de for ſoc manye, & innumerable benetites, vvhich nextafter God ,of your Rov all M**:ch rough
your continualle ayde, & opitulatione vvc ccape) humblely c to pretente, and dedicate this verye
neccſlarye boocke, vnato your moſt Magniticcate M** firmelye truſtinge, & afſuredlyc hopinge,
that your renoumnede M** ſubices, not onlye vvithin, but alto farre vvithour your M"* Re-
almes, & dominiones,ſ hall heerebye be greatlyc aydede,and therot allo reape greate commodi-
tye. lhaveeffected this vyorcke, partelyc todemonſtratethe lincerelove, &aftectione vvher-
vvith(throughe the good acqvayntance of your M** Gentlemen, Capitaynes, and valiant Sov!

diours, vvhich your moſt Royal M* hath vouchſafede to manye years to lende ys) Iaftect your
M””* asalſo to cauſcall men together vvith me gratctullye ro acknovvledge,the incflable mercyc
of God, vyhich hath imbuede, andadorned your renoumnede M* yvith to manyc noble, vvor

thye, and excellent v ixtues, and verye miraculouſlye hath defendede,and protected , your Grace,
agaynſt all the (lyc,and vvylye practiſes of your Maieſtyes enimies, by this mcanes to continue,

and by your handes to protecte, not onlyc your dominion,and other n ations, your neightvours
and vnitede ſubicttes (amougſtthe vvhich vve account our ſelves, moſt bounden to your M**).

Butalſo hcerby rocaule the floriſhinge of all ſpirituall, & corpor wlcartesin the middeſl of your
Reaimec,and Kingdome., Amongſt vvhich, the Artc, and Science of Chvrurgery is efteemede, &
accoumptede/asthe firſt, and molt vyorthicſte,and neceſlarye paric of Phyticke) i yherot | heer:

preicnt your M”one ofthe moſt exquiſite, and perpolite boockestouchinge, and concerninge
the ſame. Moſt humblye intreatinge your M* that it vyyoulde vouchtate your Highnes not to
miſcontrue this my temeritye, but rake, and conttrue my audacitve, v\ hich | have in this my dc -

dicationc vicd, to noe other cad, then that vvith all my harte,and minde lendevoure to gratifye
& YOu r

— A Ab

aa ®

your moſt renoumnede M”* & beat the commaunde according ro my bounden dutve' of vour
moſt Royall M** ſubic&es, as much as is poſſible for me. Thus fearinge lca!t I might be tome
interruptione, & hinderance vnto your Highnes, I heervvith, commit your Royall M”* into the
divine protectione, and handes of the omnipotent Kinge,and Father of Heaven, vvhom inccl-
{antlye Ipray,to give ominouſe, & fortunate event to your divincattempres,to the furtherance
of his holye yvorde,and reformede church, beinge congregatede together ynder the \haddovye
of your Highnes vvinges.

Your M** moſt humble, & vvellvvillingeſubice,
yyhoin ſigne of gratitude addifteth himſelfe
vyholye to the ſervice of your Highnes

and your ſubicctes.

eM aximilianeBouman Chirur-
gian at Dort.

TO T HE KING

oO An beinge allianced, both with Heaven, andearthe, is t/: broughe

{Ro his corporall neceſlitves conſtrayned, roconterate,and tpende the bell time
\\ his Lite, in Slcepe, & repole : norrvidiiiling being ted & crcacdout
Az 9 ofa profounde, &dcepe ſomniation,through the beit parte of himtUlte, vi hich
SYS#*<%2 is his Soulc,he purſucth, only and avourcth verye ſobcrive , the moit vile and
abicte thinges, the concupiſcence, and apetite yyherot, ke communicateth, and participatethe
vvith brute andirrationalle beaſtes. For man is not only this matke or vizard, and this tigurated
andarticulared Maſſa in certayne members, vyhich vvith our eyes vveditſcoverand behowulde ,.&
vvith our fingers vve may toucheand ſcnliblye fecle; but is rather, the virtue, and intcrnalle to!
me, vvhich cttectuateth lite in him, vigor,agilitye, and rempetature,the lame bei: We AS it VI Care,
a radiant beamealittle {parcklc, and parcel], of the Divinitye, tAntmirted, and deteende 4-06 ot

the moſt gloriouſe Empire of Heaven, to cttectuare, and bringe to pallc in this vvrerched vyor!
de,in our bodyc,athortc, and breefe ligatione: For vvho is there vv -hih doubtcth,i1a: the Sou
le, remembringe andcallinge to minde her firit originalle, yvoulde not addrette, an bid endevou-
rc her {clfe tolcrne, veaand ifit vvearc pollibleto relerne, all thoſe thinges, v\ hich be wt nora
ble vnto herCreator,& mightalto be profitable to all other creatures?& tor this Cauiio it 18,1) " \C
vve have notour countenances declmed tovvardes the carth as the brute beattes, bit Have thedn
elevarcd troyvardes Heaven, becauſe through ſuch contemplacione , and by readinoc of the truc
booke of lyte, vve might dravvcthero , and practice on the ordre, andimitatc, th e contta!
tyrhich thecxlcttiall corps, doc obſcrve,and one their perpetualic,and protivable 4.
of. Let vs thcrforc conlider on the Sunne, vvhich is as it vvcare a Prince, and modcratourcofall
other cxleſtiall conſtellations: vvhat doth thee otheryvvle cette through her en\ roms roun
de of the carth, then light vs,calctye,and vvarme vs, vivitye, & adnunitirelyte voto vo} but vila
commuodityc and profiteis1 it vato vs to ſearche the ſunne on highc have vvenor the cri] 1:
fe vvhich vvith our tectc yve inculcate,and treade one, and acculc the tame to be brute, & intcy
fible,doth ſhce refuſe, to receave,and conceav c,andagayne continuallyc,and vvihour cet}: 16
ſupertluouſlyc procreate, and liberally 1mpartc vnto vs, all that v\ hich is neceflarv,vnoour ve
ſturcalimcnt,andnourture? It vyycarc allo indecde great (ſhame, pertidionines, and cxccrtable di-
{loyaltyc,and treaſon for vs, vvhom God hath adorned vvith to livelve, vigoroute, andtruicttul!
a {pirite, that asall thinges vvhich arc inanimate , doc travavlc, and labout Sor c our proflitc

IC ncsn CT

*2 af
ſhouldeſhevveourſely cs ſtupidouſc,and inv oluntary to helpe the one the ©: hee i; in all thinges
poſſible and advaunce them:tor as the vvite,and tage men hcertotore have avcd, tha: even as all
the mundayne,and terre(trialle thinges,arc createdfor man,and his vie,in like forte alto arc men

created for God, andthe one man or the other. This contideratid mott illuftriou: c, & migh-
rve Kingec hath vrged, and impelicd mec,aticrthat I next vmio your maicttye, have di! (ch: ge "M1
duty,and function, vvhich 1 yvas ovvinge vnto your Highncs andthateſpeciallycin CUrinec
my Lorde, the Earle, of Montpenlicr and my Lordes of Buhy \&of Montigny,to perute, & revo-
Ivecertayne relcriptiones,and memorialles, vvhich lhad compiled,and collected: oecther YT
I iccved the diiccated Kinge,as vvcll touchinge the manuall operations,asallo the comparitone
and conference of the auncientec inſtruments of Chyrurgerye, viithithe nucinven: cic,!

|;
*

YOCAU ie
through the diſcourſe & rehearſal! of the ſame,and by the difctiptioncand detiguratione Fefthe
foreſayed initrumentes, todemouſtrate, vyhat commodity vve might hope,an4 rcape out of th:

' one morethenout oftheother: All vyhich, havingeaccordinge to mve pollibillirve, & as much
as this pitifull time yvoulde permit &allovy cof finiſhed, L have embouldened my tclfe,to con
ſecrate,anddcedicatethe ſame vnto your moſt renoumned Maictitye :vrhom tuplianilve & vo 1th
all humillity Ldelire, requeſte, and intreate, benignly to receave ir, a$a gifre,or pzetent, vi hicl
not diſagreeing nto the preſent time, nether vvill be diſcommodioute tovrour highnes, For be

cauſe this Kingdome of Fraunce,1s blinded vvith rage, & error, through the faraile a of the
moſt fcartuil God,doth ruinate it ſeltc, into his ovvne ſpoyle,of vvhar arte I pray /teinge that a
otherartes doe decreaſe, vnder this fear of vvarres) might it rather implore cofor: & lecourte, tho
of Phyticke or Chyrurgerye? And vvhat is morc Royalle, & morc magniticall hcer On carth, yea
and moredivine, then to recreate the afflicted, to relevatc, & conforte the depretied, & humbled
and toreſtorc health toall men ,Vvithout v vhich alldulcor, & plcaſantnes ot our litc 1s _—_ c
els then amaritude,and Gaule? V Vhertorc moſt magniticent,and renoumned Kinge, permit |
prayc and humblyecintreate your highnes, that ynder your Heroicall name, this Pale m may
| F'1 b

m__—— cn ww ED. to eo gy EO TIIOTOo—o— R—NOomu oO —

be publiſhed, becauſe throughe the ſame, asalſoe throughe youre moſt illuſtriouſe ates, of the
vvhich the poſteritye, perpetuallyc { hall not be ſilent, may be revealed,and knovvne, hovy fayn
your Highnes ſavve this poore Kingedome of Fraunce florif he agayne: yvhich novy ſcemeth to
reſpire,andin ſhortetime ex{perateth tohavean ominouſe and happye end of her miſeries, and
calamityes, through the prudence vvhervvithyour Maicſticall yaloure, and vigilant valiaunce
is accompanicde, and aflociated, From Paris,the 1 5. of Septembre, 1 594.

Youre moſt humble,and moft obe-
dicntſubice,and ſcrvitoure

/ GVILLEMEAY.

The Epiſtle tothe benevolent Reader.

Here isa common ſaying, & is novy taken fora common proverbe:thi.ur a!t 1h 17:
& gcs have theiretime, thceire place, and theire ſavion:by vvhich occation di1 ors. %
$\, lundry interprites,vvhich indeede of themſelves are goode,doe leete their vr s
and decorum,onlye becaule in theire condecent time they vyeare not practited
ll (/2 & putin vre.Butit is nor foe vvith the viilitye, vyrhichthe common vvecalth cx
LESS), pcteth,throughe our induſtrye, principallye, & efpeciallye, throuzh the (tudve.
of good artes:ſuch fruitesare never importune, netheratanye time out of {caſon, nether ab.
ortive:butareatall times very vvellcome, & profitable, on vyhat time ſoever, on vyhar manner.
or of xvhome they might be brought: In vvhich fate, the maxime, or proverbe may very trucl\
be ſpoken of Maximo Fabio, vvhoe layede, thatall intentions, vvhich ro the publique profire of
the commonevvealthe vveareaſſayede, & intTded is allyvayes vvell hopede of ,to have 2 good c
vente, & iseſteemede to bea happye intente, or prxmeditatione: And contrarily thote arc clicc
medc infclicioute, & vnfortunate, & are of a tuneſtalle,and ſorrovyfull event, yvhich arc inten
dede,and attendede, vnto the dammage of the commone vvcalthe. '

V V herforc | neede not doubte, of that vyhich I pratende ro mayntayne, and publiſhe in:t©
light,1 hall of any one vyhatſocver, be taken in badde parte, becaule I have conceavede, and pul).
lit hede the ſame in time of iarres, and vvarres:For vvhat time might I have elected more conve
nicnt, & propre, & more profitable to meditate one this Chyrurgerye, yvrhich compraxhende:!1
her operatione, & propre Ilnſtrumentes,then at this time, Fraunce beinge in all quarters, & in 2!
partes,armed, & in vVVeaponst& animatcd agaynit her ovvne entralles, & vie having our ovyne
mindes exviceratedas ir vvyeare , and hardened the one agaynſt the other, by vy hich occatione
vve to our greate greefe, and (orrovve, muſt bchouide,atall houres, ſo manve poore vvounded
& mutilatede pertons,their corps beinge vvoiided throughe the rage , and maleyolence of their
focs,on the vvhich vveare conitrayncd toimploy our handes, & initrumentesto reduce avavire
the ſame totheire former,and accuſtomed health agayn?Or yvhat might they othervvyic hope,

.Y andexpecte of me, then that vyhich is accordinge, and agreinge vno my yocatione, & callinge?
For as the Poete ſayeth; n

Tre Neptuniſf of vuindes,of flormes, and cf tempeſt

D1 ſcour ſinnge on the ſhoare go his mates can talke be/?*
The Cerialiſt,of Oxen, Hor ſe,and PloWes

The cruell Martialiſt of Wwounds,and of his blowes.

Therfore hivinge ſeenc, andalſo vvith my ovvne handes pradtized the (pace of rvventye
yeares the operation of Chyrurgerye,in moſt of the famoule, & renoumned Citves, of Fraunce,
& the Lovve Countryes,as vvell one greate,as ſmalle pertons,and that vvith ſuch diligence, and
methode, that I couplinge, and compatinge,the vicof the aunciente Chyrurgians, vvith the pra-
Qiice of the moderne,and latter Chyrurgians, I then endevoured my felfe,as miich as the diteate,
& the Paticntalſo vvould permit me, totemperate,the rigoure, and ſeveritye of the firit Opera fr
rours,or Chyrurgians, throughe the ſupple,and gentle or fyveete dexteritve of thoſe vvhich to! - q
lovved,to aſſimilate thE the one vvith the other, ſupplyinge inthe counterchang, of that 14 [1ich
vvas vvantingein the one, through the dexteritye , and induſtrioute curiolitye of the other, rc
ducinge the ſame vnto the beſt forme of beinge, & 4iloe the vvritinges, or ſcriptions,of the ro
expertelt Chyrurgiis, of this preſet time, vvith the vvritinges & iudgemet of the vyhole,throug!t
the controulinge of the vvritinges of the one & of the other: So that I have intended to make »
colleion: in forme of a Manuall for my ſc!tc,to opitulate, & addrefſe my memorve,in time ot
neede,and promptly tg effeQtuate, any manualle,and not vulgare operatione: but the liberalitve
throughe the vvhich Iam ſo voluntarye, to communicate the ſame vntocertayne of my go0de
frendes, vyhoecare ſtudiouſc, & deſiruotc of Chyrurgerye, hath precipitated me into this preſent
prodigalitye,of the vvhich I ſuddaynlyc retircd & drevve my lelte backvvarde , bluf hing & as it
vvearc al hamed,cofidering the meincs therof,as being vnvvorthy to come into light (although
notvvithſtandinge everyc one hath a vayncimaginatione, & attcctione, vnto the ſame vvhicl 15
proceded f;om him)ſo that I omit the hardines vyhich I might have had , to publithe the lame | 4
vnto the printe, I coulde verye difficultly contayne my defironic, & covetuoute handes, of that *
vyhich I vvith greate laboure, dilligence , andrthroughe longe expericnce had collected toge
ther,to havc in one momctabolil hed the ſame, if 1 had not purpolc to relerve the fame tor my
ovvne particulare ,and peculiare comodity. But my forelayed tredesdebellating agaynit my t1-
morous & fearfull defenſions, through certayn expericce of time paſſed:to vvitt, that my book«
of the diſcalcs of the eyes, after certayne daycs he yvas comitedto the prefie, vvas vntoall Ch -

Ii-

» The Auithor

rurgians verve neceflarye, & profitable:and that my firſt, & ſecondce Tables of Anatoinye, had ad
miniſtred vnroall men Yuch greate (ervice,and oromptitude of the Anatomy,and cogunitance of
the partcs of mans bodye: They havein the end rc{olved me of my doubttull teare of prodig ality,
addingec alto therbye that this tearc of prodigalitye,coulde be dam mageable vnto noc man then
ynto me,and that it coulde make noe breach into my crediteat all.

Thro! ugh thelc torelayed remonittrations being convicted, & pertvaded, vnder the pretexte
of greate furtherance, vyhich yonger Chyrurgians might heerby rcape, and not bcinge polſlible
for me anyc longer to reliite, the i importunityec of certayne ſproutes, & beginners of C hyrurge-
rvc,vyhovvearc of opinione, that this prelcnt pecce of vvorcke, vvith all the detormityes therof,
might be profitable for them, and beinge certifiede , thatit by anye means they couldcattaync
them into theire handes, they vvoulde committheſameto the printe even ſuch as it vvcare. So
that lam conitrayncd to imploy my lclte certaync hovvres of the day, in correcting of the lame
and a line more imbelliſhe,and adorne, the ſame, vvith 4 portray ftures of mans bodyc becaute
the tame cntringe into the vvorlde might be effected vvith more tavourc, & credite, vvherot the
tv vo firit, doc Jemonſtrateall externall partes,as vvcll antcriorlyc,as poſteriorlye, & inthe other
wvvo,allthe lupertictall Vaynes,arc evidently layed ope vnto vs, vvhichas little rivers docrunne
throughe! he face & throughe all otherexternall partes of the body e cxicnde themiclvesas vvell
behinde as before, becauſe the ſame beinge of the yong Chyrurgians noted, they v vith lefledad-
ger might openanye of them.

Farther 1 have enriched this vyorcke, vvith divers defigurations of Inſtruments, not of all
Inſtrumentes, but of thole onlye, yyhich Icitecmed to be molt neceflarye: For cven as the lage,
prudent,and vvyic Nature, hath inſtituted ſuch an ordre,to mans body, that 1 hee vvith fevv par-
tcs,Can accomplithe,manye greatand excellent aCtions, In like lortc muſt the Chyrurgiane,an
imitatourc,and adminiſtre ot FNature,cndev oure,and conſtray gnc hinifelfe , vvith fevy Inſtru-
mentes to exccute,and eftecte, manye, & greate Operations. And to ſpeake the playne truth all
this greate companve and treaſure 10utc of Engines, Molitiones,and of other Chyrurgicall In-
ſtrumentes, are more tor curioulity, & oſtentatione, then for anve neceflitye, and vic. lamallo
verve certavne of that vyhich our Hyppocrares layeth,to vvir,that vve ought not toconſtraygne,or
reſtravonc,the libertve of our corps,and the Operations, vntothe penurye,and deficience: of In
ſtramentes:but much moreamplific,and enrichthe ſame, vnto the commoditye of the bodye,
and ecatc ot the Operations: bur I vvoulde rather cxoprate,and deſire, that this vanitye, & luper-
ititiouſe bravadingeof Inſtrumentes, vveare ruled yvith more religioutc mediocrityc.

AltoIhave made, agreate & ample Tablc,or Index,intheend of the Boock, vvherin through
Alphabetic allordre Ll havc illuſtrated, the molt notableſt, & dithculteſt thinoes, vyhic inthe in-
quititione might be an impediment, vato the ynexperte in thearte of Chyrurgerye, in ſeckinge
of thcir farther commoditye. Anditiobecany man obicctec vnto me, that this my \ diſcourſe, 1s
onlve compilede together of certayne rapſodyes of the antiqve Chyrurgians: Il vy illingely heere
contes, & acknovvledge, that in this Treatile,ther is verye litilc,or nothingatall of mync ovyne
Inventione: For Iam not the man vvhich liveth by an other mans muruatcd ſupellectilles and1
rather publiqurely confes,that I have collecteda]l this out of auncicnt Chyrurgians, bcing greate
rt ame tor mc to bc reprxhende :d,and (urpritcd, of a ſecrete thette. For vy hat nov elry eSare vnder

'C Sunnc?as the vvvie man faveth: And as the Commns laveth, vi hat ſhoulde vvenovy adaycs lay,

vi hich hath not betore bin ſpoken?But I may atall times vv ith critye ſay, that lam notentred
in:0 this matter to ſovve,and ſeminate the ſame in an infertille grovy nde: Forl have added ther
wntogrcate amendmente,and have cradicated, & vveeded out all ſpinolitics, & thiſtles, vvherof
they vvcare replenithed vvith greate difficultyes, ſeqyeſtringe on the one [yde malevyolet herbes,
1yhich choacked the good truictes of the truth , compotinge all thinges in good ordre , to adde
thervntoclcernes,and facilityc:throughe the vvhich excellent, moderne, & aunciente”Autthors
may be vaderſtoode of thote, vyyhich can attayn to the klovviledge of noc ſtrange langvages. Ne-
ther have tuch Pertonagcs, out of vvhich I have taken anye of their operationes', obſervedin all
thcirtreatiics one ordre, pertectlye,and one manner of operatione, but one divers places, and in
overs Bookes they havediteribed them: vyheitorc they are not ro be reprehended, vvho vvitha
CO! nſeq\ ence, have redacted them together, becauſe they might the ealyer be comprzhended, and
vaderttoode. Andalthoughe thote vyhich heeretofore hay e vvritten of InſtrumEtes have co-
tentede themiclies only v vithe the repreſentation, of the fimple Figures: In have heer endevou-
to pretent dimentions,and proportiones, theire longitude, and crafſitude ,and ſo naturallye,

taatnether the Chyrurgiane, nor the Smithe vvhich vve -cauſcto compolc the ſame might have
2c occalione of hclitatione, or doubte, nether tall intoanve crroure, of theire commenſurati-
(:,.C APPIOPriatinge VNto everve one of them his namcin Greccke, Lat! ;n,& Frenche, & reporte

«:.4 145 OVVNC OPPOItUNItYE, and viage therof,
| knovvye

LE

To the Reader.

name in Greecke, Latin,and Frenche,and reporte alſo his ovyne opportunitve, % vive thera!

I knovve right vvell, that in this vvorcke ther vvilbe ſome operations of Chyrurge: ve yian
tinge,and that itis not yyholye perfect: But Iaſlure my ſelte,that everye man of a yood tp1 rite, &
1dgement, vvill acknovviledge, that I of purpoſe have omitted the ſame,and tha! clpeciallve be-
calc ccriarne operations, therofare not novy adayesin vie, & practile:as is the manner of 1n(ci-
ltione of the ſkinne of the Heade, vvhich the Greeckes call Perieuphi nos: Allo the extirprtionc of
vvocmens breſtes vvhich hange toe long; of the Cauterizinge of the Liver,and of the Milte : ot
the extrattio ofa ſtone out of the blather, becaule 1 my (clfe am nor therin inftructed: Al vrhich
operations, I permit to practiſe the right vvort hiptull Mon” Collo Chyrurgiane at Paris, a pero
nage ſo rare therin thatall Fraunce hath not his like, vvith all dexterity ro ettectuate tuch an OpC-
ratione:In like ſorte alſo M©Pincau,allo Chyrurgiane at Paris, vvhich is the re{plendente (tarre
of Light vntoall the Anatomiſtes of theſe times. Netherdoe I doub:e,that he vvhich dilligently
ſearcheth this vrorcke, that he ſhall finde anye diffaultetherin : tor Ll doubte yyhether that anye
curiouſe pocple ſhoulde accomplit he, the ſame, ſcinge the Aucthor himlielte coulde not ſuthici
entlyc accomplit he the fame:Burtl hope, to receave of the bencyolent Reader, ſome excu te, he
notinge, and conſideringe,that ſuch operati6s vyhich are verve titilloule can not at one time be
begunne,and alſoatthe ſame time finiſhed, and that itis ſufficiente, vvith greate ditticulty rj ght
lyc toimprinte the ſame. V Vherforc if this caterprile [cemealicnate, and [trange vntoany bo
dyc,andihey mocked thervvith, I certifye vnto them;,that I envye noc man, vyhich can mcliort-
zetheſame : Angastouchinge thoſe vvhich iceme not to Dein ihe vyorlde for anye other vic,
then tocenſure, & reprzhende others vvithour vvillinge yea and beingable to effectuare ought
theſclves, letthem ioviſe, & ioy themſelves, of their privileadge, as longas pleatethuthocin, vrher-
vvith 1 doe not much moleſt my (elfe. Othervvyle, | have yvritten only for the wmor, & ronger
Chyrurgians,and not for thoſe, vvhich are vvrholveand completlye edoctiinized, and {arch tor
nothinge els then fora perfection of all thinges: I have norexalted my harte 16 hight, as thoſe te-
vere cenſurers vvoulde require,and | ſuffiſe my lelte yvith my accuſtomed manner, & vvith the
behouldinge of the commoditye of the Frenche tunioritye, of that vyhich my tmall v1icte,could
ſet torthe: l onlyedelire this one thinge of them, that they vvoulde youchlate ro meliorive the
ſame, as | certaynlye knovve they vvell can, anddoe not retayne their oyyne commodity therot,
Andit vvilbea greate ioy,and pceaſure vrto me that therin they turpaſſe me: & I ſhall very yvell
knovve to applye the ſame to my protite, and commoditye, yyhich they throughe theire great la
bour, and induſtrye, have brought forth, tether vvill Leonceale that yyhich of chem Lt hall have
learned. | |

Andalthough it be the opinion of the Sages that vve oughtnot to lightly, thereveale lecretes,
of Phyſicke, vnto the common, & vulgare poeple treating of tuch matters, in theire marernall, &
mothcrlye langvage, becauſe it might be eſteemed of little vvorth,& be of all men little accoun
red of: Andalthough I coulde calily, have vttered, and exprefſed my intente,in latine, vet I rather
publiſhed the ſame in our French language : And thar firit ot all, becauſeall annciente Learned
men, vvhether they be Greeckes, Arabers, or Latiniſtes, have vvritten altheire doctrine, and
experience in the maternall language. The primates, and princes of Phylicke , Heppo
pocrares,and his faythfull, and fidelce interpreter, commitatoure Galen, Paulus # ginets & Oribaſins
doe vvitnes of the ſame. CaAvicenna,and Averroes, haveallodom the tame, vyritnge in the Ara-
biane Langvage. Celſus and Plinins, the firſte and they vyhich have only vvrirren in Latine, have
alſoe done theire endevoure,and have allo ditircd toimbellit he,and cternize,theire Latine lan-
gvage, & contrye, through the termes, and theoremes of Phylicke. Farthermorealto , by hovy
much the morea thinge is more commone toe muchthe more is it better, and by 1o much the
more may this ſcience of all men be knovvne, lauded, andexiolde. - The Phylicke of /7:ppocrates,
and of Galen, the Phyloſophye, of Plaro, and of Ari/fotle, are they therfore obicured or letic clice-
med of, becauſe they vveare vvrittene of the Auncientes in Latine,and Arabicke langvage? And
thoſe vvhich of our time, have vvritten,in French Dutch & Iraltane, as manye rcenoumnede me
have done, vvhoeinall ſortes have indevourcd, todoe ſome lervice tothe common vvealthe,
hade they heere in committede anye thinge vvorthye of reprxhentiomthey vi hich vyrite in vn-
knovvne langvages, beſydes that they are profitable vnto (traungers, and totheire onre native
ſoylediſcommodiouſe,are aſlimilatedand reſembled vnto farmers, vvhuch vvould rather till,an
other mans feclde,then theire ovyne propre grovynd,to the greate dithonoure,l hame, & detri
mente, of theire countrye,and inhabirantes. |

V Vherfor | moſt hnmblely intreate, and obſecrate all men, to receave gratefully, & thanck
fullyc this my laboure,and divine deſire, vvhich | haveto fee the tunior Chyrurgians , vvith al?
their mindes induſtriouſly labourig to follovy & imitate me:& it to be it pleated &< that any mo-

relearncd mathe lam vouchliafedeto perlegare vvith pleature,& imploye a tmall of their time
thc

To the Reader.

inthe readinge,of my {criptſons,and vvritinges, I moſt courtiouſlye deſire the, that they vvould
more vvith good vvill,then vvitha ſpirite, vyvhich ro narrovvlye efpyeth,ro reprzhende the faul-
tes, vue & circumſplectlyc note the defaultes vvhich might be therin:Leaſt that through to grea-
te curiolitye,and ro ſcriouſe ſubtilty, that ſame happen to me,as in times paſſed, happened to the
Philoſopher Theodoſio, vvho turning over the preceptes of Philoſophye vvith his right hande fro
his Anditors, they vvho vvith theire lefte hande couldealſo reach him, throughe malice, and im-
purirye of ſpirite, turned, & miſconſtrued the ſame in badde forte. V Vhich if ſo by anye meancs
I can attayne vnto,and knovve thatthis my vvorcke, (publiſhed throughe the importunitye of
the iuniourc Chyrurgians) ( halbe aggreeable,and acceptable, ynto manye, it vvill then admini-
ſtre courage, vnto me,to purſue , and addrefle the remanent of my ſtudyes, vyvherin lam centred:
that is, to medidare,and to publit hefor the yonger Chyrurgians,all thoſe thinges, vyherby Gods
honourc might be increaſed, and be profitable, tor the common vvealth.

Candidus imperti meliora,vel were noſtris:
Carpere vel nolinoſtra,vel ede tua.

Some men do reade, to reape ſome good therof,
Others ro mocke,and hovvlde therof a ſoffe,

It is more calc heerin to reprehende,

Then anye thinge therin,for to amende,

mm— CO — ———_

To the gentle, curtionſe Reader.

| hg, Ometimes vvith my ſelfe c6fideringe , & in the ballance of my copitartions ve:

COSZF ghinge,hovy perrillous, & daungeroutean attempte itis (molt benevolente, be-
$5 nigne, & curtiouſe Reader) inthele times, andages, 1 omit ether to vvrite, or di-
1 vulgare anye vvorckec, but ro tranſlate it out of one language into an other. Yer
I vyoulde not, nor indeede coulde not partely to ſatilfye the greate importunuye
of certayne vvellyvillers of the Englit he natione, and poeple,buteſpeciallye of
my reverente matiter, vvhocalthoughe noe Englit he man , yetlaſſure thee one vrho throughe
certayneacquvayntance of Englif h Captaynesin theſe Lovvcountrycs, doth affect al! Englithe
men, & vvoulde heerby thevy himliclte gratefull not onlye vnto them, bur to the vrhole locicty

_ of our Maieſtyes ſubicctes, by incitatinge, &as it vveare compellinge me his poore ſervant heere

vnto,obieftinge vnto me my inconſtanr levitye, vvhoe havinge receavede ſo manye, & ſogreate
benefites of the poeple, & ſtudentes in Englande vyoulde not imparte this excellente, exquilite,
and perpolite peece of yyorcke vnto them, (einge thatallo the Printer, vvas lo vvillinge tO 1:1C1-
tate me hecre vnto, heere byallſoe expreſſinge his attectionated goode vvill both to our molt re-
noumnede Maieſtye (vvhome God longe przxicrve) and her ſubicQtes. 1 ſtandinge in a dumpe, &
beinge vvith thete obietions mute,Neſcrens quid agerem,ant quo me verterem, not knovving vvher
ro hide my ſelfc, at the laſt as one beinge crectede,and fuſciratede out of a fvvouud, I feeblely ma-
de this anſvver, that it fitted not nether vvasagreinge to my harſhe, rude, and illiterate ſtile ro be-
ginne ſucha pcece,of vvorcke,and I being noc Englithe man borne might chaunce (as vvithour
doubt I have) ro take $ſſ/phns his laboure on me,in not vvritinge goode Englifhe. And vvhich
is more, leaſt | ſhoulde attributcany occaſion of offence to my moſt reverent brother vvho be-
inge a Docour of Phyſicke,& I butan illiterate, & ignorat youth applying my minde vnto Chy:
rurgerye, might ſuppoſe me to beſo pratchante, & highminded that | fought ro xquall my ſelfe
yvith him vvho through hisaffectione he bearcth ro Englande hath alſo rranflatede an excellent +
booke of Phylicke. But at the laſt I being fully retolved of my doubtes, & of the perſuaded, that ir
vyould ofall men be taken, & conſtruede toa goode end, I coulde not any longer reſiſt their im-
portunace aſſaultes on the imbicille vvalles of myantvvers, but they havinge therin made a bre-
ach | vvas conſtrayncd to yeelde my ſelfe a captive, &acknovvledge them victorsin contfentinge
tothcir requeſtes,by takinge this laboure of As on my t houlders. ThertoreI vvoulde not
vvillingelyc , have that this light inconſtancye f houlde be obietedagaynſte me , for not im-
partinge vntothee(moſt gentle Reader)thele my obliterate lines of this experte,exccllente,and
pcr»>olite Chyrurgiane [aqves Gwrllemean, vvhome for his excellentic of his manuale operations
Ll aſſure thee ſuch a one hath never in Engliſ he binne traflared:Behould novy therfore ro ſhevy
my ſelfe grearcfulle for thoſe benefites vyhich vvhilome I have receavede in this floriſhinge,'&
bleſſed countrye of Englande, both in the Vniverlitye, and in the other Ciryes therof, lheere
humblelye przſcat vnto thee this my firſte attempie,, vvhoalthoughe indeede no Englitheman
borne, yer bearingea true Englith mans harte vnto our Maieſtye endevouringe continuallye'to
ſhevv my lelfe gratcfull vnto her, & her ſubictes. Andalthoughe it be more grofle, & impolite, *
then decent, & convenient, toanſvver the fine, & iſcothng heades, & vvittes of theſe times vrhoe
allmoſt can doc nothinge els then ſcoftfe, mocke, & tloute,at other mens induſtrryes,and labours,
yet I pray the(gentle Reader)not to celſteeme them all vayne, indecent, andinvule, tor or cnrr'rs
homin contin adire Corinthum,everye man can not havea nole like at hooing horne, that is eve-
rye onc hath not ſuch a fertile vvitte as they have for [ acknovviedge my ſelteto have but a bar-
ranc, & vnfritefulle grovvnde & that ther doth nothinge then Flix 72444 ſeere 40115 mers and hovy
is ir pollible then to reape goode Fruictes therot? And knoyve(curtioule Reader that lrakeitto
be a godly thinge to publit he ſucha peece of vvorcke for theayde, & tuccoure ot all yongeChy-
rurgians to operate,& yvorcke on mis bodye,torvvhat more prxcioule thinge is there on carth
then man:and ifthen vve endevour to preterve,the health of our bodyecs itis then necctlarve to
have ſuch boockes out of vyhich vve may learne the meanes vvherby vve might doc it, & Lhave
the more vvillinglye trantlatede the ſame into the vulgare & Englit he tunge becaute everve one
hath not the gif: of langvages, & although ir be not ſoc exquilitelye done as it vveare Convenient
it ſhoulde, ramen eſt laudanda voluntas,l have done my beſt indevoutre thervnto, tor ther vvher abt.
lityc lacke:h,my goodvvill notvvithitandinge is to be receavede,and not to be repugnede, & re-
jected. Nether {halt thou heere (gentle Reader) hate any cxquitite mcthode, nor the tlovving,
ſtile of Demoſtlenes,and eloquence of Cicero, but a playn common, and vulgare [tile for it vvas not
of the Aucthor compolcd in the firite tor tuch mEas arc expertein theic operations, but tor the
commonaltye,and yonger Chyrurgians, that they heerbye might learae the truc operations of
Chyruc-

To the Reader.

Chyrurgerye. If my boulde audacitye, or audaciouſe bouldnes \ hall adminiſter occaſione of of
fence to any man, | recurre to that common refuge, vvhich promiſeth remiſſione to him vvhich
giveth his firſtaſſaulte, V Vhertoreif the learned vvill youchſafe to reade this my firſt beginning
vvithout envyc, or malice agaynſt me, I \ hall thincke my induſtrye verye vvellimployede & nor
to have beſtovved all my labour in vayne: bur it through the harlhnes of my illeterate & rude ſti-
le they are cauſed to lay it out of theire handes, & ſight, yet I humblely requeſte them to take him
Vpagayn not for my lake, but for his oyyne, yyrhoe although defilede, & poluted vvith my impo-
litede ſtile, vet they may gather in the garden of his exquilite vyorckes, as fragrant gillovyfters of
Chyrug icall operations (I dare avouch) asanyevervveare in Engliſhe, Andifther beanye of
Momus his partakers, vvhich doe revile, ſcofte, & floute me, vvhoarc ſoc ſcrupulouſe , & praiu-
dicialle,that vvith noe Phylicke they can be cured of their criticall diſſeale, tell them I pray thee
(gentle Reader) from me, thar it is farrecaſyer for them to reprzhende, then to correct or melio-
rizc,and that they dare not for the beſt cappe they have take ſuch a thing in hande,lcait they per-
adventurcſhoulde fall into the pitt vvhich for other they had made, for there is an oulde, and in.
vetcrate proverbeas I remember in Latine Lnod ribs fieri non vis,altert ne fecerts, let them(I ſay)re-
adc this proverbe & I truſt it vvilbea purgatio tor them. V Yhat ſ hall Iſay mo: c? for indeed I can
ſay nothinge as theComicus ſayeth quod non fit dictum prins, lf therbe anye vvhich vvith their Argus
cycs, vvill vue, & ſo narrovvlye princke,and looke,ftor faultes in this my labour vvithour doubte
"Ye ſhall findefaultes ſufficient , but Iyvoulde requeit them to leave theireyes at home vvith

za, vvhe they loock for any faultes heerin, & ſpittin a boxe, the ſpittle of quippes, & quiddi-
tycs, & caſt them behinde ſome cheſt of oblivione that they never may anye more be ſpoken of,
and let them not diſpite this my poore farthing,forit may be heerafter ſhall finde my ſclfe doin+
ge vvith (ofthe other peece of yvorcke more excellent. If therfor (benevolent Reader) vve finde
this vyvortkg to be acceptable vntothee, my maſter ſhall thinck his motis to have binne bleſlſede
and happyc,the Printer his irritatione commodiouſe,and I my labours, and induſtryes vvell be-
ſtovvede,and itſhall be as it vvcarc a Calcar vnto me therafterto imploy my ſelfe vvith the tran-
fatione of ſome other excellent peece of yvorcke. If not I vvoulce frendiy delire luch as ſcoffe
heerat , to reade, &dilligentlye conſider theſe tyvo verics vyhich the Aucthor reciteth, andare
theſe,

Candidus imperti meliora,uel wtere noſtris;
Carpere vel noli noſtra,vel ede tua.

Thus beinge loath to interrupte thee anye longer vvith vayne, & illiterate ſpeeches I commit
thee to the tuition of God thy Creator, & his ſonne Iheſu Chriſte vvho vvith his effuſed bloo-
redeemed thee, and of the holye ghoſte, vvho inſpireth thee vvith his ſpirite, continuallye vviſ-
hinge increace ofall virtucs,and longelyfe vato thee.

Thyn as his oWvne,or els not Worthye of vitall breath,

A.M.

aa © OO... TAG. WEI.” ""

THE THESAVRA

RYE, OR STOREHOVSE
of Chyrurgerye: wherbye are alſo added

\

Foure figures, or portrayctures of mans bodye: Two of the which do-

demonſtrate vnto vs,all the externall partes of the tame:and the other rvvo, the movit
vilibleſt vayncs fit for phlebotomye, vyhich lye diſpearced vn
d-r the 1 kinne

Throughe

. . C * - .
kiqu.cs Gwillemean of Orleans, Ordinatede Chyrurgiane tothe Kinge,aud fv voine 1
his Chaſtelet ar Paris.

The Preface:

E ſay in Fraunce for an auncicnte, & verified proverbe: That it is nor ti tticlc
recnoughe that vve doc anye thinge, but that vyve doethe fame exquititiye , 5&
profitablelye. V V hich can not vvith anye convenience be excuted or accom

e plil hed, vvithout knovvledge of the cauſes, vyhich doe leade, and conducte v+,
FF tothe perfettione of the effect: So that accordinge to the ſayinges of the Philo
> ſophecrs, Science is nothinge cls,then the knovvicdge of that, vvhich yve have
| in handes, through his p:oper caulſcs. Vnto the vykich all Artificers muſt endevourc toattay-
ne: throughie the vvhich Chyrurgerye, although notvvithſtanding,vve can nor arravne tothe
q knovvledge, & cognilance of the preſente ſubiete, & the accidentestherof,throughe luch oc-
6 caſionsas vve havediſcribede,the ſame being as it vveare an inferioure icience, and dependin-
| ge,on the Naturalle,and Phylicall ſciences: vve ought notvvithſtandinge to knovy at the leafie
this poynQe,and to oblerve,and follovve the ſame, and that throughe the moſt (enlible , and
apparent cauſes, vyhich are Materialle,and Inftrumentaile.

VVhich hath movede me to repretent , and as it vveare evidentlye vnto all mens whors,,,
eycs demonſtrate, not onlye the materialle,and formalle principles , vyherofour tibictte, of ths Au
mans bodyc, is created, and compilede together, but the Inſtrumentalles, throughe the vy hich FAG |
vveas by ſuch meancs mayntayne the ſame in his naturall healthe, as longe as ther is anye he- 1,0... —
alth afore handes,andalſo agaync reſtore the ſame, beinge imbecillede, & debilitated, through 1c lnitrw
the combate yyhich vvc have agaynſt the diflcale, or licknes, * meresin

Nether to ſpeake truthe is it a thinge conveniente,and ſecmlye, that anye greate,or vvor- - -
thye Capitayne, ſhouldeaſſayle kis enimyc, before he apparantlye knovve him , and have tor 0! 1;
his ovvne commoditye,andadyantage made clectione,and choyle of the place, & teclde of co. © ve*
bate, hath ordrede andalioe armed his ſouldiours:noe lefle alſo, muſt he beliege anye firongo, 51,. .c
and fortified Citye, vvithour firit having advertiſemente, & knovvledge, of the mott feeblette co, % 414
placc of the ſame, & yyher in ſtorminge his ſouldiers may leaſte of all be endamage te, ke ha- ©< vt 2
vinge ſutficiente admunitione,to makea breatch. On

Ia like ſortealſo vveare it greate temerityc,and ral henes,foranye Chyrurgiane,to take in " ;
hande anve operatione,of Chyrurgeryc, vvithout firſt of all ceniidering one the tubicte,one The of1-
the vvhich he intendeth,and purpolcth to operate, or vyorcke,convenientl;eto lituate, and —
collocate the ſame, and being fourniſhede of all his Inſtrumentes convenient for tuch an o- {irmiae,
peratione,therbyectoattayne vnto his pretended intenre. I humblye reqveRte,thc molt bene-
volent,andgentle Reader,to have me excuſede, although I have not collocatede,them in ſuch
numbre,as Ll vvillingelye coulde vvithe and defue | had, havinge notvvithitanding cautede the
ſameto be repreſcntede:butthroughe the iniuryes of thi moit diſturbede, & moleſtede time,
there are ſome of the Plates (vato my greate moleſtatione,and forrovve,) loft and coulde uot
by anye mcanes poſlibleſo ſuddaynlyc be agayne pourtrayede, & engraved :the vihich no

yvithſtandinge in the rexte editione Lhope to collocate them

a*
www 3H

\Vy
Coiace 37

The Thelaurarye,or ſtorchoule

Explication of the Charaflers which

are contayned in the firſt firnre of mans bodye:
Wherin G.fuenifyeth a Greecke Worde,and L. 4
Latine Worde,

A, That vvhich from A,roa10,is contayned-<,is called
the Headein Greeck - Cephale,& in Latin: Capur,
And that parce vvhich 15 noted vvith, Ais in G,cal-
I-d Brogma,and 1n L,Synciput:Inthis place the ſu-
turcs Sugittale, & Coronale doe atlemble themiel-
ves:on Vyhich place vvc may convenientlye applyc
the Cautzryes.

B, The torchcead,G,Mctopon,Epilcynis L, Frons,thar
vvhich frothe B, to a 10. 1s callede the face G,Pro-
ſopon,L,Faci.s, Velrus.

C,Thc Templcs,G, Corcai, Cortaphai, L,Tempora,
& that vyhich ſtandcthe beſvdes the ſame, G,louh,
L, Lanugo,that vvhich is contayned,bervvixre,2,5,
D,& E,s called the Eve,G,Omina,Ophthalmos,L,
Oculus,the c oncavity of the ſame G,Þyehs, L,Ocu-
I pelvis,the vyhite of the Eyc,G pe LE O-
cul1,the Apple,G,Core,L,Pupilla, the Circle,or c6-

atlc of the Eye, G, Iris, L, Is, the Cornersof the
Eves,G.Canthi L.14 irct, Oculord angul::Thegreat

D,corners of the Eyc cloſe tothe Noſe,noredvynth D,
in G, Rantcres,, L, Magnus angulus, Theleffcr

E,corncr,fuzitimating the Temples, Ein G,Poropias,
L,Parvus avgu'us. The Brovves, G,Blepharon, L,
Palp<bra,the externall parte of the Brovves,G,Che-
las Entricomarza, T arfos, L,Palpcbrarii crepido, I he
edg:sof the Eve liddes,G,Blepharides,L,Ciha:that

2,parte above the brovvcs G, I'viowphrycs,Epiſcyma
Larinc ſupercilia,that ſeparatio, vvhich is betvvec=-

3, ac the brovves, noted vvith this hgure 3,G,Meto-

hryon,L,Glabella,Intercihum.

F. Fic Apple of the Eye,G,Melon,L,Malum.

G, The concavityc of the Face.

H, The Cheeckes,G,Gnathos, L,Bucca.

4. I he Noſe,G,Rhis, Nycor, L,Nafus, the end of the
Noſe,G, Sphains, L,Globulus,that vvhich hang th
one the end rherof,G,Chyron, L,Columna : The
Noſtrells,G,Prervgia, L,A x,Pinulce, the ſeparation
beryvcen the noltrells,G,l{thmion, Stylis, L,Narcs.

I, \The little gutrure vnder the noſe in the vpper lippe,
G,Philtron,L,Lacuna, Amatorium.

- 6. The Eare,G,Ous, L,Auris,the vvhole, G, Cyrtoci-

dces,L,Cubiformis, the ſupertoure parte therofno-
ted vvith this figures,G,Prerygia, L,Pina, The infe-
riour part of the Earc Tendrs6,notcd vvith this hgu-

-, rc7,6,Lobos, L,Fibra, Anſa Auriculz, the redupli- |

catede ſemucarcle,G,Elix,Coclia,L,Capreolus, The
8, concavityc ofthe Eare, noted vvith the figure 8, G,
Conche, L,Concha,Cavum auriculz,the eminen-
ce by theTeples,G, Tragos,L, Antchirci. The audi-
rory aperti6, G, Acoe, L,Mcarus auris, The circum-
volutons vvhich are therin,G, Camara, L,Teſtudo,
9, The Mouthe,G,Stoma Logeion, L,Os,the Corners
of the Mouthe,G,Chalmus, L,C halmus, The Lip-
pe,G,Chcoilos, L, Labrum, Labium the vpperpane
of the Lippe, G,Profcheila,L,Prolabra : The Place
vvherthe Lippcs 10yne themſelves, G, Proſtomione
that place vyherthe muſtaches begine ,G , Myſtax.
$0, The Chinne,G, Anthereon, L,Mcuntum the conca-
vitye vyhich isthcron,G, I vpos, Nympha,L,Nym-

pha:
K, \,Ailthat vyhich is comprehendede bervvyecn the
,and thc a, 1,is the Necke,G,Trachelos,

<—

OC _ ———_—

L,Collum the foremoſt parte therof is cailcd the thin
re,G, Hypodceins, L,Rumen the nod of che 9.27 -
K, ge,or throte, or Adams birte, G, Branches, Luv nx,

A>L,Gurtur,the Windepipe,G, Sphage, L,luguiaio.

Li. Gi kurome Slate proxim um cavum,

M,M,G,Clades, Ligulz,that vvhich 13 corayned from
M,N,Q,1s the Breit,@, Thorax, L,Vectus.

N N, The Breites,G,Maſtoi, Ito, L, Mamma, VÞbe-
ra,the dugge,G, Thele L, Papilla, the carcumaceur

lace of the du es,G,Phos,L, Arcole.

O, The Brcſtbone,G, Sternon, L,Os pectoris,

P,P, The fituationeof the Harte,G,lrocardion, L,An:
tecardum,

, The concavirye, or pirte of the Stomacke, G,Sto-
machoilis, L,Os ventriculi.

#, The little Breſtebonein the pirte of the farne, vnder
the thorax, G.Xyphoides, Lt nlitornis, Malograna-
tyum,thar vyhich 1s comprehendede butvvecnc Q,
and Z,is the Bellye,G, Gaſter, L,Venter.

R, The ſaperiour part of the Bclly,G,Epigaſtris, L, Su-

| perventrale,vnder the vvhich,is tituated, the mteri..

our orifice of the ſtomacke, as 5 the currance ther-
of vnder the fifteribbe,of the Breſte.
$,S, Theſydes,G,Hypochoadria,L, Prxcordia,vnder

| the vyhich in the right ſyde15 lituatede the Liver,

and in thc left tyde the ſtomackc.

T, The Navlc,G, Omphalos, L, Vmbilicus , of ſome
Vmbilicus caſtratus the middcit of the ſame,c,Me-
ſomphalon,L, Cavum , that vvhich is nmp-1cd,c,
Graia, Vetula,L,Vcrula , heer vnder is fituared, the
greate revolutione of the gutre Ietunum,and this 15
the Centrum of the bodyc.

V,V, The Loynes, or Lunges, 6, Cholago, above the
vyhich,the Kidnyes,arc ſituated, and inferiourly 1n
the right ſyde,the gutte Cacum, & 1n the lefre,the
revolution ofthe gutt Colon.

X,Theinferioure parte of the B-lly, c, | qptrion,
L, Abdomen, Sumen: vnder the vvhich is tnnarcd,
the greate circumvolutione of the gutte Ucon, the
Blathcr,the Wombe,and the Longanum.

| Y,Y, The ſupcrioure parte of the —_— , or Flanckes,

G,Lagonas,E,llia : vnder the vvhich 15 fituatede a
parte of the gutre Ilcon,the Teſticles,or Hornes, of
the Wombe,& the ſpermaricall vetlclls of the yvoe-
| men,vyhen they are gravide vvith Childe, andthe

Vreteres. :

Z, The bone pubis,c,Epiccion,E,Pectcn, Pubes,

8,4, The Flanckes,c,Bubones, L,lngvina:they are alſo
called the Emunctoryes of the Liver, and thertore
Areteus calleth them Loymodes, Buboncs, L,Sobo-
les lecoris.

| e, The yarde,or virile membre,c,Caulos, L,Coles,Pe-
nis,Mentula, Virgz: The Heade,c,Lalanos,L,Glans,
the concavitye ofthe yarde,c,Ourita, E, Vrinzram
icer:the topptherof,c,Poſthi,L,Prepurum,the cnd
of the - 9-57 prxpuri.

+, The puric, or bagge of the teſticles, 6, Oicheos, L,
Scrotum,or Scortum:that ſuture, or ſcame vvhich

| paſſeth along the viritilye and maketh a ſeparatio-
nc in thc Koddes or Scrotum, 6, Raphe,L,Surtura,
and from thence toyvardes the fundament,c, Tau-
rus , that vyhich is one both ſydcs of this ſuture 15,
calledc,c,Perincon Femen,

a,a, The ſhoulder,c, Omos, L, Humerus, the ſuperi-
our parte of the ſhoulder,c, Epomis,E,Humeri ſg-
mitas:that vvhichis comprxhended from a,vntoa,
o,is called,g,Cheir,E,Manus,and from a,vnto a, b,
is calledethe lefſer Arme,c,Brachion, L,Brachuny

3, The Acme pute,&,Maſchale,t,Ala,Axilla.

Prom = ne

CYY®Y ©
Vi \ ſh
"

"x
O

es,of Chir

fr
*

of Inftrumen

'

4

1 nghe "Cat

Po
Og!
&

Pre

© —i
"
F

4

Wt : | oi

_ =

—

= Vmme "IHE Ka br 6. NE mm gs Y hi

Aww
hp dt
Wo 0! (15440 &> MC MW (1 If We

200) Trl \ 'S;
ELLLLLLLY : T% , 'Y/
Kt RO = RS 1 OW

WWW
Wo; eh

4;
hl

We k

WV.

cc

SITTTTY 's
4 nr fs

he e partes

all t
few >

—_

/ WF Decheratone 7
g,
$6 of mans

|
(;
+

TheTheſaurarye,or ſtorehouſe

This conſequentlycenſuecth on the ſeconde
leafe.

c, The Elbovve,G. Olccrans, L Cubirus. All the rotii-
dirty ofthe lctt Arme, from agto a, dis called,G. Bra-
e 10nos, L Humen corunditas: Inthe tight Arme,

«d,q,demGttraterh,the end,and che T<ndone , of the
Muſcle D-lthoude,

e, Thc muſcle of the Arme,G. Ancon,L. Lacerrus.

I"(,I{ The place on the Armes vyhere vve applye the
Fontanclles.

f, The bendinge of the Arme : Thar vvhich is colloca-
ted bervvecne the forelayede , f vnro a,g,is called
the forcarme,G.Olcnos,T.,cubius,& the ſuperiou-
ce par:e of the arme,G. Cercis, L. Radius,the inferi-
ouce parte of the fame,G.Pechys,L,C ubius.

8, The fit, Carpos,L. Brachiale.

h, The torem-it parte of the file, G. Meracarpion,L,
Pottbrachiale, vvhcrin the palmc of the hade is cal-
I-d G.Dvz0n, L Palma: The hngers G,Dactylos,L.
Digit1.

m, ” © Thumbe,G.M gas, L. Pollex.

i,l, Tenar, L.Hyporcnacr. :

n, The lnjignituure, or forctinger, G. Lichanos, L. In-
dex. Salutaris.

©, The middle tinger,or as vve comonlye ſay the Foo-
les tinger,G Mclos,L,Mcdins, lmpudicus, lnfamis,
Verpes:the rovve of the fingers aze called, G Phala-

es, L.Ordines.

p, Lhe Medicinalle finger, or Ringe finger, betvveene
the little tinger,& the middic hnger, G. Parameſos,
L Annulans, Medicus. uo.

q, I he little or care tinger,G. Micros otitis, L,Minimus

' Auricularis, The loynctes of the tingers, arc ſotumes
called,G.Phalang.s, L,Digirorum internodia.

* The end of the finger,cloſc vnto the Nayle,G. Cory-
phe,L,Corvphe,the Nayle, G, Onix, L, Vngvis,the
bcginninge of the ſame,G,Anatole,L,Vngvisexor-
rus,thoſe little vyhate ſporres vyhich at ſome times
are one the Nayles,G,Nephelion,L,Nebecula.

6,f,Thar vvhich is coprchendede bervveen theſe tyyo
Icrtr<s 15 the thighe,G, Meros, L,Femur,

14,14, The ſuperiour parte of the lcgge,G,Epigonides,

L,Genicaularcs.

r,r, The internalle parte of the Hippe,G,Paramyria,L, |

Fe mina.

| T1, The flatnes of the ſame , vvheron vve applythe

boxes,to {u!' 1rate the menſtruallcs of vvocmen, G,
Mcſom-tila, L Incerfemina.

f,f, The knees, G,Conys, L,Genu,that vyhich is rotun-
deiyec elevats., ;ca'icd Rotula or the 1 hive of the
Knee,G,F: mvl',, pigonatiy Myli, L,Patella,Mola.

t,t, The 111.11, 4nticnmion,Chrea,L,Chrea,

v,v, Theinicp; of © oor G, Tarſos, L, Iarius al that
vyhich 1c mprohonded bervveenc,v,vntoa.f;c,is
the legge,G, 1-2, L,Ti1a,the remanent of the
fac called,C,\cropos, L,.vtremus = k

xx, The ſuperioure'parte of the foote,G,Metararſos,L,
Meratarlus vyhervnto (1e tocs are adioyninge.

y,z, The Anckles,G, Sph ;a,L,%iuilcol.

T he Declaration of the Charatlers

-——

— —_ - _— — n

— —

——C

Which are compreheded one the pofteriore, par- | |

te ef the bodye.
A, The fiperiour part of the head,G, Coryphe, Meſo-

cranion,L,V cites.
B, The hinder paite of the headz,G,lnion,L, Occiper

Occipitium,

C, the P:4Cc vyhere vve applyc the Cautrcryes agaynſt

Iurdity.covyardcs the mamillare productions.

- Oo

D, the Nape of the Necke, on vvhich place allſoc vve |

apply the C aut: ryes, that vyhich 15 comprxhended
bervyeunc the forcſiyede, D,vnmto a His callede the
Backbone, G,Rach:s,L,Spina dorli,

*,*, Ine Necke,G,auchyn,Ucires, Opiſthocranion,L,
Cervix,ttisthoplace,vyherin vve applye the Scton,
Or CPAc.ihcrot tvvo Canerycs.

I I

E,E, The vlace vvheron vveapplye the boxes,G,Epo-
mis,L, Summitas humeri : the tuperioure parte of
the ſhouldre.

F,F, Thatvvhich is collocatede betvveene theſe rv vo
lettres,is called the Backe,G, Mectaphrenon,Noton,
L,Dorlum, Tergum.

G,T hat vvhich is compriſede, betvveene the laſtc F,&
a,G,Ofphis,lxis,L,Luwbi.

I, The bone Sacrum,G, Hicron, Platy, L,Os Magnum,
Sacrum, Latum,vvhich is contaynede, bervycen I,
and a,H.

H, The Cropion,or Rumpe,G,Coccyx,L,Cauda,

K,k, The Shuuldre blade,G. Homoplara, L,Spatula.

L, L,Th- right firuationc,and collocatione of the Kid-
nyes.

M,M, The beginninge of the Muſcle Delthoide,

N,H, That v vhich is comprzhendede betvvixte theſe
=_ letrers,is called the: forearme,G,Olenos,L,Cu-

irus,

O, The Elbovve,G,Olecranon,L,Cubitus.

P,Q. The fiſte , vvhich is contaynede bervycene theſe
tyVoletrres,G,C ,L,Brachiale.

Q.R, The fore moſt parte of the fiſte,vvhich'is coprz-
hendede bervveecne theſe tvvo characters, G Met -

ion, L, Poſtbrachaale.

$,S,The Haunches,or Hippes,G,lſcbia,L,Coxe : On
this place is the night combinatione,& the colloca-
tione,of the heade of the bone in the Hipy ;\vyher-
on vve mult apply the remedyes agaynſte the Scia-
rica.

* * The Butrockes,G,Gloutoi, L,Nares.

L,L,The crafſicude of the Hippe,L,Femen

V,V, The externalle parte , vvhcrethe membranouſe
muſcle 15 collocarede.

X,X,The Hockes,G,Ignya,L,Poplex, vvhere vve ope
the Popleticalle Vayne-

ry, The Calfe of the legge, G, Caſtrocnemion, L,

ura.
Z ,Z, The greate Tendone of the Heele,
w », The Heele,G,Prerna, L,Calx.
[1-F1> The plante, or ſole of the Foote, G,Pedion,L,
Planta pedis,the concavity therof,G,Coilon podos,
L,Vola pedis,

Declaratione of the Charaflers con-

taynede in the firſte, and ſeconde fenre , of the
externalle Vaynes , Which We wſe to Phleboro-

mite,

A, Demonſtratethe the Vayne in the Forcheade.

E,In the ſeconde _— Vayne Pupis.

2, The Temporalle Vaync in cach fhgure.

*, TheEare vayne.

B, The Eye,or ocullare vayne.

d, The lugulare,or organicke yayne, of the Arabian
callede Guides,

f,f, Inthe 1, and 2, figure, the Cephalicke ſhouldre

vayne.

G,g,In the firſt, & ſeconde ngure, the Baſilica, Hepati-
ca, the liver vayme.

g,i,L,4, The Mediane : bur the right mediane is that
vyhich is norede,vvith,L,and 4.

H,$,In the firſt,and ſeconde figure, the Heade,or ocu-
lare Vaync.

1,6, The Salvatclla,of the Arabians Seynale or Syelcn.

L, The M-diane,or Blac ke Vaync.

P,Q, The Il:aqve vayne,or Tinllatis in Latine,

n,n,ln the ſeconde thgure,the Popliticalle vayne, V,V,

,Þ, The Saphena.

T,T,q,q,The Sciaticke Vayne,

RR 1h. Cruralle, vvhich maketh the Saphena, no-
ted vvith R,inthe ſcconde _m—_ |

$. The Sciaticalle vayne, vvhich alſo noteth the Scta+
ricalle vayne,in the cxternalle anckle,

P,P,A,A,Dcmonſtrate the internalle anckle vayne.

O, O, B,B, The cxternalle anckle vayne, *1, *1, The
Heclc,

of Inſtrumentes,of Chirurgerye,
Dow oa al & gan COrondlc Aly
4 itn SY C ba

4 : i
.
—_

—
STSY
4 l BW ”}
\2 :
x Ky

»” ]

al
j as g 1
_— 1 ——-
: . — p - S % . 4
: f -
- het 44 8 -
4 ) av |
4 | |
-_ : |
< J
hk ;

8, Vaynes
.

ww

: T4

iu he externa!

o
=y

of

”2

OnErrato

\ Den

» .
Wn. .

WATT (H 6 "7; T7220 11 We 4t + [1 Los 10> 466 F:4
114 |

C-d -
: Th , *: + o ”Y
i tihi
| mt | q |
: {(I29, Fi
: :
: TITEL
os tt A hendioncrt >< cds a -
* .

[

”

A,Demonſtratethe ſuch anInſtrumente, vvhich con- |

Declaratione of the Charatterscon- |

reynede inthe Tahle of Inftirumentes, Wher with
We extradte, and draveout the Bulletes,and all
other onnaturalle and alienate thinges, forth of
the bodye.

t11deringe the figure,& timilucude,is in Latinne cal-
led Roſtrum Lacertiit 15 very n=ceſſary,to extracts,
a bullet out of the body,vvh-n they lye th-rin plet-
tered, or els ro dravve outofthe vvound any ſmalle
peeces of bon-s. The forz{ayed A, noteth only yato

vs the Pipe thcrof.

B, The vice,or means, vvherby this foreſayed Inſtru-
mente,is opened, & ſhutte agaync,as much,and as
little as pleaſeth the Chyrurgiane.

C,Thelirtle Icon rodde,vvhich openeth , & Chutretch
the forelayed Efts bille: for vve dravvinge the ſame
rovvardes vs,it{ hutteth,and thrulting the ſame fro
vs,it openeth, ? |

D,D, The Dilatorye, behoulder,or Enlarger,in Latine
Dilatorium or ulum:1T his |n{trumente is inter-
nally concavoul-,& dentified,or toothede,to retay-
n<,& hould that faſt vyhich { halbe ther bervveene:
it may be vicd for rvyo purpolcs:firſt of all ro dilate,
& enlarge the vvounde, vyhether it be ether ro vue
the botome therof, or els to bring any other Inſtru- |
menrte therin,vvhervvith vve yvoulde dravve anye
thinge out of a vvounde:ſecondlyc it is alſo of itfcl-
fe commodioule to dravveanye alicnate thinge out
of a vyounde,

2, The chavned bullete.

b, Alitle Chayne.

c,c,Certayne parcels of Mayle dubbletes.

E,E, The Crancs bille, In Latine,Roſtrum Gruinum.

F, The ſpringeto _— open the ſame, leaſte thar the
Chyrurgian might be hindered in the opening ther-
of : & becauſe he ſhoulde allvvayes be preparede to
ſhurre the ſame, as ſoone as yye perceave any thing
to be bervvecne the ſame.

G, The Bullete vvhich muſt bedravvne out. ;

H,H,The Ganders bille,In Latine, Roſtcum anſerind:
Ic is alſo called Roitrum latum,the broade bille:the
extremitye,& end therof,is alſodentiftied & roothe-
de,becauſc he ſhoulde the ſurer,rerayne the Buller.

I, The bullete vvhich is bervvcene the teeth.

K, The ſoundinge lron,or Eſproverte: vvhich may be |
vicde alſo for a Needle to make a Seton: & is verye
convemiente to ſound,& ſerche for bulletes, and all |
other alienate thinges in a vvounde: asalſovve may
make thervvith any Seton, the ſame beingeneede-

|

_—

fulle: {ome ther are vvhich ar made of tvvo peeces, |

becaus it ſhould fo be more portable. This foreſay-

ed {carching Iron is called in Latine, Aſtilla teroria,

Racdiolus,Explorator:& in G,it1s callede Mele: Ga-

- _— it Thaumatichc, Mele,and Hippocrates,
ichyn,

The Theſaurarye,or ſtorehouſe

L,The Bulletdravver or Grounde diavver , vvithour
his canulle-This Groundedravyer 1s verye acute on
his end,becaus the buller might ſticke faſt therone:
c 1s called in Larine, Tercbellum ſimplex,

e, Theviſe,vvhervvith he is faſtened in the pipe,or ca-
nulle, & vyhervvith he is boarede into the bulerte,
vvithour any great violence,or force.
M, The Pipe,or Canulle,vvith the hadefaſtening ther
of.[n Laine Canula ſimplex.
N, The hadle through the vyhich vve thruſt the Gro
dedravver.
O, The Buller dravver , vvith his canulle, on vvhoſe
end the bullet is faſtened,to be dravvne out, i We vic
this Inſtrumente, vvhen the bullct is faſtened inany
bone, & vvhe the ſame vvith violence muſt be dra-
vventherour:&,s in Latine called Terebellum tors
culatum cum Canula.

d, The viſe , vvhich entereth into hercaſe , notede

vvith x7.

[1 , The vile vvhich is internallye occulted.

An other Bulletdravver, the end vvherof isnored

vvith R,vyhichcauſeth it to be ſo called, the buller

drayver vvith the ring,or vvith the ſpoone, mult be
hoaled,to give place vnto the bullet : and the other
end,is recurved,& broad, & alſo ſomvyhat conca-
| vouſe,vyith ſmalle tecth,to retayn, & hould the fa-
ſter all alienate thinges, vvhich vvc intend to dravy
our, vvithour eſcaping therout.

R, The buller dravver vvith the ring, or vvith the per-
forared n:this bullet dravver 1s very convenier,
& neceſſary, becaus the bullet is the one halfe ther-
in included, & is alſo by that meanes held ſtedfaſtly
falte,vvithout ſterring therout: And iscalled in La-
tine,Globulitraha annulare,or Cocleare.

Sy The Croockede bullet dravver , in L,Globulitraha
connexum: This bullet dravver is alſo very nccefſa-
ry,becaus he is detified, becaus the bullertbeing ther
1n,it ſhould not glibber therout, but may be therin

| retayned.

T,An other bullet dravver,vvhichthrough one of his
endes, as through the ſuperioure noted vvith V, he
1salſo hoockiſhe,& recurvated: & at the other end
noted vvith X, he ishike yntoa hoock, vvhich is a-

| cute,&ſharpe,notvvithſtading in ſuch ſorte,that in

noe vvyfe they may vvound,vyhether it vyear Syn-
nuc, Vayne,or Artery inthe dravving out of any thi-
Re : theſe extremityes,or endes may ſerve todravve
| any Linne out of a vyound or any ſuch like thing,as
en, Woolle, or anye Mayles,vvhich mighte re-

mayne faſte ſtirckinge in the Wounde.

V, it isarecurved, & croocked bullet dravver, called
in L. Hamulus recinus,Latus,Obruſus.

X,The bullet dravver vvith tvvo crochetes , or hooc-
kes,called in L,Hamulus bifidus obtuſus : And are
called in G,Vncinos,& of the Latiniſtes, Vncus:and
in French Croc, or Crochet , or Hamscrochus, a

|

Hoocke,

There is noe Chyrurgiane, yvhich hath anye bullet drayyer ofins fal hone, or manner
vyherevvith he contenteth himſclte:but I have hcere placed, & Eollocatede, thoſe yvhich
are fitteſte for vic, omirtinge,and lettinge paſſe manye other fal hons, toprevente, andevi-

tcall confulons yyhatlocver.

- — —_— - Aa

F

of] nſtrumentes,of Chirurgerye,

.
WY WY APY Pr 12} 17 1 I AO AE 91 AA F041] O04 14) 4 1 POYt\ LAH 21TH W-
| ;
LR
\ 3 ky
-
*
"©
ie

Ur

c

uſclooton

-

-

. om de

iP
/ mmumenten

”—

; *Diwuerſche

®,

— MWWWldt-

© ON

PBullotes

our

\

Fd
aratToe

)

/

—

I trumentes. ra

W

lunarye
94D

_

-N)

ha

The Theſaurarye,or ſtorehouſe

Declaration of the Charatters con-

raynede intheTable,of the Inſtrumentes of the
Heade.

A,Demonſtrateth,an extractor,or dravver our, vvith
threefecte, the one vyhercof 15 verye thinac, and
$, {malle, notcde vvith this figure, 1, the {-conde 15 a
2, little grofſer,and thicker,notede an this ſorte, 2,the
thirde of a greater cralſitude d<tigurede vvithe this

3, marcke, 3, to accomodate them accordinge tothe
convenentn<s of the fracturcs,or depreſſiones. We
may take him, for the In{trumente, vvhich Hippo-
crates ca'lcth Tripanon Periterion , and vve in En-
oliſhthe Percer. Avicenna,und Albucalis, have not
onlye thervvith contentede, and ſuftiſede themſel-
ves to clevat : the depr1ſ-de bones,but have allſoc
thervvith perforatede the Cranium,ana Trepanede
it, vvherfore they accounte this In{trumente for a
ſpecies of a Trepanc. k

B, The Hindle,ot the ſmalle Inſtrumetes of the H2a-
de,vnro the vvhich cverve of theſe Inſtrumentes a-
r: accommodated2,and titunge. And 1s in Latinc
called Munubriolum.

C,The p-rforatione,or ho!e throughe the vvhich,the
viſts of the forelayed Inſtrumcnres are thruſte.

C, The ſinalle , and hettle Savve, In Larine Serrula,
vvhich onlyc {:rvcth , toſavve throughe the bones
of the Heade.

E,F, H, Doc demonſtrate vnto vs, the Raſpes or (cra-
p<r5,callede in Latine, Radulzx,or Scalpra raforia, In
Greecke Xvrera. There are divers , and ſundryec fi-
gurcs heerof:that vvhich is notcd vvith E,is round,
that vvhich is marckcd vvith F,is acute and poync-
rede. And that vvhich is broade , &dilateth it (elfe,
is callede in Latine,Scalper exciforius Lunarus, be-
ing< not diſlike vnto a halfe Moone: and callede in
Greeck Cliſcos, becauſe it is ike vnto a ſemicircle:
The Auncicnte,and Antiqve Chyrurgians have tre-
pancde vvith theſe Inſtrumentes , but vve novv a
daves have farre more conveniente inſtrumentes,
and vve doe onlyc helpe our ſelves thervvith in ſe-
archinge vyhether the fracture doe penetrate both
the Tablcs of the Hceade or nor.

G, The viſe vvhich is thruſt into the hole of the hand-
lenort-de vvith C,

H, The Depreſſor,of the Membrane , vvhich vvevſc
immediatlye attertrepaninge,thervvith rodepreſ(-
ſ- the Membrane,to eſpye vvhether ther be nothin-

e fituatede, and collocatede betyveene the Mem-
OS ns the Cranium.

4, The end of the forefaede Depreſſor, vrhichis lat-
tc,as a ſmooth Hcade,of a vvell polliſhede Navle.

$, Scalper Lenticulatus, G, Phacotous, Iris an Initru-
ment like vnto a little chiſell in forme of apenne-
| knife: foe callede, becauſe in ſteede of a poyndcte it
hath a rounde, and flatt thinge like ynto a Vetche,

PO EEE Corn Es
—

—T

—

leaite vve chaunced to hurte the membrane vvhen |

vve thnervvith vyoulde playne the edges of the tre-

rec perforarione beinge verye _e

6, The little Verch vvhich 15 at the cnd of the forlaye-
de In(trumente.

K,A certayne Kinde of Elevatorye , veryc neceſſarye,
callede 1nLatrine Elevarorium, Vectis,G,Oltraga,
L, The pillarc,or branche of the Elevatorium,vvhich

15 quadranglede.

» The end therof vvhich muſt be ſituarede , on the
ſounde and ftirme bone.

M, The Crochet,or hoock e,vvhich deſcendinge.,cle-
vateth it ({clfe, and cecollocateth as much as 1s nce-
defulle.

8, The poyncte v vhich is flatrye , b:cauſe it might be
thoake into the dilamation,or tifſurc of the Craniy.

5, Alciſer hoocke,or crochete.

N, Inſcilive,or curtinge pinſers, or tonges, tocuttof
anye,pee ces,or fplinters of bone.

O,O, I he Roſtrum lacerti,vvhich is veric convenicn-
re.co dravve out aaye fplintzrs of bone, G. Anthe-
tous,and Eiſtethois eccopcas.

P, The Ravens bille,in Latine called, Rottri corvink.
. An other Kinde of clevatoryc,and is in Latine cal-

ede Elevatorium bitidum,

*, This demonſtrateth to vs,thatyvhich vve muſt lay
one the firme bone.

R, That vvhich muſt entre into the ſplitte , or els be-
wvycen? the depreſicede buncs, tothe clevatione of
the ſame.

S, Another Kinde of Elev atorye, vvhich ar one end is
toothede,and at the other end formed, like ynto a

halfe Moone,

T, Arcicindente Inſtrumente , the one end vvhereot
ſervethe fora raſore,to cut throughe thervvithe the
muſculouſe ſkinne of the Heade,and allothe Peri-
cranium:vyhich end is notede vvith X, and on the
other end is itblunte, vv hich is veryc conveniente,
to ſcrape the Pericranium,the ſame cleaving to faſt

Y, vato the Cramio:the vvhich end is notede vvith V,
the Greeckes call it, Hypoſpathilina, SpariG,or Spa-
tomecle.

Y, A ſoundinge, or ſerchinge iron , to feele vyhether
ther be any fracture in the Cranium,the end vvher-
of is rounde, and folielye poliſhede,and being

Zz,ot a reaſonable brad: dehgurede vvith Z, and

a, onthe other end alutle clevatorye notede vvith a,

b, Demonſtraterh a __ of the Headc, vvhich 1s gre-
atlyc broken. and hurte,as vve may behoulde,our of
the vvhich it vvcare necedcfull ro have a greate pee.
cc of the Cranium taken avvay.

c,c,c, The circumference,and magnitude, vvhich vve
purpoſe totake avvay,vvhich conveniently may be
done through thre places,vvhich muſt be trepane=
dc,toadminiſtre place to the favve.

d,d,d, The three places vvhich vve muſt trepane : by
this mcancsro take avvay direftlye trom Line, ro
Line the corruptcde,and rotten bone,notedc,vvith

C,C,C, C,C,C, VYhich vvith the ſavve mult be done. $0-
me therare vvhich vic this forme of trepaning, bue
it is tediouſe,and troubleſome, and in thus doing is
there a greate qyantitye of bune taken av vay.

I have heere endevourede,to preſente, the moſte convenicnteſte ſortes of Elevatoryes,
vyhich novveadaycsare molt in vic, in ſuch magnitude, & greatnes of forme , as might be
moſt convenicnte for the Chyrurgiane,conlidcringe all other (malle inſtrumentes or fer-
ramentes of the Heade,asare the Raſpers, vvhich of ſctt purpoſc 1 omirtede, leaſt I ſhoulde
clove the Chyrurgiane vvith to manye Inſtrumentes, becaus by thole in place of others he
might contenteandfuthce himtelfe, becauſe that ſuch an infinite, numbre of inſtrumctes
doc tcrve more tor oftcntatione,and pride then for anyec necellarye vic.

ot Inſtrumentes,of C Iururgerye.

P pra a. TT : PG eo ig I
© mM. CUOEOY Ret Flooft
|
|
|
'
|
|
4
F
F |
[
|
4.1
.
|
4

_,

my

| Ng.

Drivers EInstrumentes _ for rhe | Heads

-

ſt

Declarationeof the Charatter; con-
raynede im the portrayFures of ſundryc and at-
vers ſortes of Trepancs nd mprnge wnges,

A,A,A,A,Demonſtrat- the v+ho!eTrepanc in his for-
me,and faſhonc.
B, Thc coverture,or cappe of the Handle.

C,D, Tha: vvhich properly 15 callede the Trepane,G.

Trepmnon Chynicida,or Chemcivz & Prionacharac-
ron:vyhick vve mutt foe vaderſtande,vvrhen the ſa-

mx 45 vvithoue covercure:ln latine it is callede, Te-
rebellum, Tr:panum ſtriatum Scrateres , & of Cel-
ſo, Moctols , and vvhen the coverture 15 therbye,

E vyhich 1s not vvith E, itis then G, callede Abap-
tſton,& wn Latine Tre panum ſecuntatis , becauſe
it can entre no deeperthethe arccite,vvill luffcr,

F,G, The Prramide vvhich patſech cleane through the
Tr:pane,vvhich muſt a little excelle the rrepane be-
Cault 1m the warnings of the Trepane it might ſtan-
de ſtedyc,and havinge her circle, may be raxen out,
clolinge rh4art end v4hich 15 notedevvith G.

H,The Perforative Trepane, vvhervvith vvc onlynore
the place,vvh-re vvc intende to fert the Pyramide.

I, The little vite vyhich vve vvinde 1nto the coverture
of the Tr:pane,toatTure the ſame, that it may ſtand

{t-dcraitlye,

K, Another K:nde of Trepine vvhich is a little larger
in her balis,then in the beginninge therof:8& 15 in la-
unecallede Ter:bcllum alatum , & fuch a Trepane
can not lincke invvardes.

L,The vvinges of the Itepane,vvhich delicatelye and
cealilye curt,

XMLN, The Piramide vvhich pafſcth clvane throughe
vv hich vvc mult cemove the Trepanc having ma-
de his circle.

©, Arfother Kinde of Trepane, vvhich onlye curterh

the Acſhe:;& is verye neccl[arye vvhe vve mult ſud-
daynlye trepanc, becaus vve feare any greate fluxi6s
of bloode. Itcutteth and perforateth throughe the
muſculouſefleſhc of thc Heade the ſame being firit
vvith a porentialle Cautcrye cauterizede,

* Thecucle , orcircuirc vvhich muſt cutt as vvcl as a
Kinfe,nerthcr multe it be coothede.

P, The Pyramide as 15 inthe other tore rchearſede.

Q,Another Kinde of Trepanc, to pertorate the bone,
vyhich is notdiſlike vnto a thimble, & is alſo alate-
de,and deiicarclyc cuttinge, as yvell above, as one
the ſydes.

R, The little poynQe, vvhich ſervethe in ſteede of the

ramyde,lcaſte that ſhee ſhoulde ſticre out ofher
ace,vyhich muſt as long be viede therin vnrill the
Trepane,be _ ſertlcede,& faſtenede therin,
7, Thc little poyncte beinge taken avvay,
Q, The handle of the Trepanc.
R, The quoyſe,or cappe vvhich turnethe.
$, The viſe vvhich ftaſtenethe the Trepane aſſuredlye,
La hole vvhcrin the forefaycde vitc mult be turne-

e.
V, The trepane beinge taken in pecces,vvithourcappe
or Pyramide.
X, The Cappe.
Y, The viſc vvich houldeth faſte tke capp, the vyhich |

l

is ſcruede into that hole,notede vvith. 11.
Z, The Piramide beinge alone.
1, The hole or apcrti6,»yhcrout the Pyramide ſtickerh

[

—— —

TE
— ——

— ———

TheTheſaurarye,or ſtorehoule

3,A little eminence by thevvhich the Pyramide 15 (te --
adefaltlyc helde faſt,tn the Trepane.
4 The end of the Pyramide,vvtuch mult cntre throu-+
ghe the hole of the trepancnoredo vvithl
6,6, The « xfoltative trepane.
7,7, Rounde pinlecrs,or renacles , very neceſſary to ta-
ce avvay thetrepancd- percelle of bunc.

The Declaration of the Charatters

contaynede in the capitalle In ſ{rumentes,or Pin-
IG rs.

A,Demonſtrate the pinſers, vvhich are callede parates
billes, L,Roſtrum Plitaci,
B,B,The ede patratcs bill,

C,That parte yyhich rc{cindentlye is rcemovyede vp,&
dovvne,

D,on the end therofnorede vvith, D.

E, The other end vyhich houldeth faſte,vvhich is alſo
reſcindente.

F,The viſe yvhich openethe the ſayede Bille, & agayn
{ hurterhe the ſame.

G,G, The little Glyſorye,or Glidere vp and dovvne.

H,H, The recludede Partates Bille.

a.b,A little pincette,

|

\ Declaratio of the Charatters, which

are contaynede in the Trepanes With wifes.

O,R, The trepane vvith viſes bcinge taken a ſunder.
P,P,The vile. | |

; The end,or extremity vyhich ſhuttcrh in the quoy-

te,or Cappe. 2b

n, The Cappe inthe vyhich is a viſe.
f, The trepane vvith the viſe, beinge readye,
p.The quoyfe,or Cappe.

,

he C_
i,1, The viſe vvhich is on the end,
|,m. The Pyramide,vvhich paſſeth cleane throughc.

Declaratti of the Charatters,which

inthe Cranio are contaynede, being in vo pla.
ces Trepancde.

P,P, The Cranium,vvhich demG6ſtratcth the rvvo be-
nes,tOyvirtthe Forcheade, and the Parictale,noted
vvith a,a,

b,b,b, The fiſſure, or fratture vyhich croſſcethe the ſu-
ture.

c,c,c, The Coronalle Suture.

d,d, The tvvo hoales,vvhervvith theſe rvvo bones vye
are boarede,and pearcede throughc.

e,e, The rvvo rounde parcellcs of bone vvhich are ta-
kenour of the holes.

T,V,A ground dravver vvith three feere,or branches,
the firſt vvherof is notede vvith V, & (erveth fora
ſoundinge irone , to knovve hovy * deepe vvc have
pearcede the bone.

X,A little Elevatorye , thervvith ro move the bone,&
marke vyhether it be allmoſt chroughe.

Y, The grounde dravver,to ſublevatc out of the hoale,

the Trepancde bone,

of Inſtrumentes,of Churargerye,

1
14
l
l
|
|

"Tiepanen dhe « EF ©
* T7 , D\

-

OD?NUNDUWNP PUP ?

bw The Þort ortray dures 0 of dur; - forres ne of Treg Tre a veAg = Tame

— — -— ——_—_— a _ _—

— > _— i

Explicatione of the Charatters con-
e.ynede in the figure of the Hare monthe,

A, A, Demonſtrate vnto vs both the cloven lippes, as
they are ſeparatedethe one fron the other.

B,B, The diltance vvhich is betvvecn them.

C,C,Boththclt places vyhich vvithe the needle mult
be percede,& mult be farre diſtante the one tr6 the
other becaus the {tuches doc{not breacke through.

D, The = <6, Hen , or portraycture of the Harc-
mouth. |

E,E, Both the endzs of the N-edle.

F,F,Both the infcifions vvhichare ſemilunare,or hal-
fe moone vyylc,& mutt onlye be made in the ſkin-
ne vvithour pencrratione of the mouth, becaus the
ſuperior kinne may {tretch vvhen vve dravve the
lame tovvardcs vs,

G,G, Both the endes of the clovenc Haremouthe the
ſam? beinge xgallyc combinede together.

H,H, The threde vvhich 1s involvede rovvnde aboute
the Nec dle.

Explanatione of the Charattersno-

tede on the ſ1de of the throte, im the portrayetu-
re of the Harcmonth: Which demaſtrate wnto ws,
4 Wounde receavede in the Ingulare Vayne:and
the meanes alſo hoWe to circumligate the ſame.

c,e, Shevve the magnitude of the vyvounde.

f,t, The ſuperticies of the Iugulare Vayn vvhich is dif-
cidede.

g, Demonſtrate the ſeconde puncture of the Needle,
vyhich zs done,internally in the Wounde,un the ſy-
dc of the Iugulare Vavne.

h,The firſtepricke or ſtitch of the needle, vvhich hath
his originalle one the ikinne , on the other lyde of

_ theſayede lugulare,

1, Alittle compreſſione , vvhich muſt be collocatede
bervveenc both the ſtitches, alittle more inferiour
then the letrre f,to knitte,the knorte therone,leatte
that the threde {houlde ro ſuddaynlye cutre throu-

he the ſkinne. '

I,1,Both the end:s of the threde,vvhervvith che Iugu-
lare Vayne is overthvvartelye tyede , vvith a little
compretiion vyhich is notede vyith 1.

| Declaratio of theCharatters, which

are Contaynede im the drye Suture , or ftuchin-
ges.

K, TheportrayCture one the vvhich the dryc ſuture is
< PII.

cheeke.

M,M,TvyvoLianencloutes, vvhich are glucde on the
face,

*,*,*,*; The thredcs vvhich paſſe throughe the Linnen
cloutes,therbyc to be dravvne,oyncede,and knitre-
de together.

N,N, Bothe the peeccs of Linne clothe vvhich are ſe- |
paratedethe one from the other.

*,*,**, Thethredcs vyhichare palſcde throughe both

the cndes.

T he Declaration of the Charaflers

Which arc comtaynede in the Inſlrumentes of 2
lufle portable Ca ſe :

O,Dcmonitrateth vmto vs a thicke,concavoule ſoun.

The longitude of the vrounde vvhich is in the

—_

|

——————

The Theſaurarye,or ſtorehouſe

der,arthe greateſt parte,as caſilye vre may perceave
| bytheonettarre,* vntothe other *,ſuch a concavity
receav<th che poyncte of a croockede Lancerte , to
make an inſciltione becauſe yve might contayne the
ſame vvithour entring to deep? ,vv herher { hee gl1-
de this vvay or that yvay , the end hecrof 15 recur-
vatede,and explanede to purifye thervvith the cir-
cumiacete places of the vvounde, it may allo be ta-
ken forthat vvhich Cellus calleth Speculs Latum,
G.Platcie Mcle.
P,A littlepincet,in Latine Volſellz:the Superiour end
therof may be taken forthat vvyhich the auncicnte
| Greeckes callede Spatomele,like vnto halfe a Spa-
rula, Thus little In{trumente,is verye neceſſarye, as
vvell ropurify the curcumiaccte places of the vvot-
| _ deexternallyc,as internally vvith the pincer.

Q, The (craper,thervvith to icrape a corruptede,carie-
de,and purrifyede bone.

R,A Spatula of the Greeckes callede Amphimelon,&

L, Spatula,the end beinge thinne , & may be vſcde

in place of a privet, or ſounder, havinge a little but-
ton on the end,& is then called Pyrin melcs, vvhich
lignttiethe the burtone of the privet, asthe ſame 1s

a, noted vvith a and the ſame beinge hoockevyij-
ſe, 1t1s then callede Agrimeles ,as that is vvhich 1s

b, noted b, and vvhen it is concavoule like anc are

| picker it is then callede Cyarifire Mcles, the tame is

c,c,notede vvith c,c.

d, A little ſounder, vvhich vve may allo vic the ſame
in the higatione of the tiſtles 1n the fundamente and
is then callede of Hippocrates Scorodou Phyſinga:
to concludcir isa ſounder, vvith tvvo endes, vvher-
ofthe one is perforatede in forme of a Needle , and
the other rounde like vntoa buttone.

S, Alittle ſtone dravver beinge ſuperiorlye hollov ve,
like an carepicker,and infcriorlye like vnto a hooc-
kethis Inſtrumerc may be vſed,to dravve our a bul-
let,a needlc,oranye other alienate thinge beinge 1n
the vyounde,

| Ex planatio of the Charafters con-

gaynede in the Diſcription of the Needle pipes,

caſes or Canons.

T, Indicateth the Needle cafe,,vvhcrin vve may ſtic-
ke thredede Necdles,& alſo vvinde threde theron.

V, The coverture,or opercle of the ſaycde cafe,

X,X,Y, Little round plates of the largencs of a french
croune,Yvhich are perforatede,vvhcrin the Necd.
les are reſervede,and Kepre,

Y, The cxtremitye , or endof the ſayede needlecaſe,
vyhichis clefte, ther throughe ro letthe threde the
eaſyer paſſe through, vvhen as vve thervvith vvou! »
de ſovve.

Z, Z, The tvvo Needles,the one to combine, & ſtitch
the vvounde rogether,vvhich is quadranglede, and
the other rounde to ſoyve together all the rovviers

of the dreflinges.

1, The caſc onlye vvith the inferiourparte turned =
vvardes, profitable for the ſutures of the face, vvhe
the ſame muſt be done cloſe by theNoſe,& in more
other places vvhere the extendede,& rectifyede pi-

can not be ved,

2, The ſplitte vyhich is one the end.

3, The recurvede Needle for the ſutures of the face, &
other partes, vyhcre the righte needle can not be y-
tede,

4, The reCtifyede,or extendede caſe or pipe.

5, The ſplitre vyvhich is one the end.

6, The Needle for yvoundes,vvhich at her acuitye,or
poyndte 1s triangulare and refcindente becauſe by
that mcanes ſhee might the caſyer entre: for in thru
ſtinge ſhce inicideth vvith hericdges.

7, The Needle to ſovve _ all cloutcs, and row»
lers to diefie vyuthall.

F—>
A fekent

| ..# . ant
47 TRY PRONS
<4 —_

Canons and Needles

—— ————CYOC' > ————_ —

of [n{trumentes,of Chirurgerye,

Declaration of. che Drye, /uture

OY

— 7

».
SLE
-

[>

Innocents

I —_— b
Þ} / ortravrure of the Havremourhe

| mghe Can

2n . Halemond:
TOON Ps ® DAT

'« C#

Acts es tc FD... RO

nahe Can de
mu

29g

BY
NA?

=

etllen

7
bw

AVIS bf
1[}\6

p

Fnjtrumenter. Voor een cow; Coke

_

-— « AT
: -
KG
: SG o

"=>

Ken

2 21m v Atl.

©

alv

PU WILL SUS

—_

O, The cnd of the blade, vvher there is a ſcrue to rece-

The Theſaurarye,or ſtorehoule

Explicatione of the Charatters con-
taynede in the table of theſe Inſlrum#es Which
are propre and neceſſarye to the extirpatione of
membres.

A,A,Indicateththe Knife vvhervvith on the ſuddayn,
vve may cutt the ſkinne , and the muſcles ro the
bone vvhen vve defire to cxti anye mortifyede
loyncte,or membre. And is of theLatiniltes callede
Cultec exciſorius lunatus, in Engliſhe a ſemiluna-
re cutting* Knife:it is in this forme compoſed be-
cauſe it mightthe caſycr comprehende all the fleſ-
he in the curcuite, .

* Demonſtratcth the ſuperioure parte ofthe backe,
vvhich after a ſorre ought ro be ſomyvhare acute,

& ſharpe, to ſcrape thervvith the Perioſtium from | |

the bone, vvhich at the firſte time coulde notall at
once be cutre throughe,

B, T he perforatione, or hole vvhich is beneath in the
blade,vyhich yealdcth backvvardes into the hand-

» leand ther occulteth it ſclfe ther by to contayne

«the knife ſtcadye. : :

C , A hole yvhich is inthe handle, vvhenn is alittle
iron barre , vyhich paſſcth cleane throughe vvher-
vvithe the blade is faſtenede.

D Thc cnd of the foreſayed blade,through the vvhich
he is impedited to ſtirre backvvardes 1n effectuatin-
ge ofthe op:rativa. Some therare vvhich conten-
tc themſelves vvith a common razer,vyhich behin-
de they involve vvith linnen, leatte that it ſhoulde
revolute backvvardes , and are of opinione that it
vvould bercr be done vvith a razor havinge an emi-
nent bellye,then vvith a ſemilunare knife : and for
confirmatione hcerof they take example of the La-
niators,or Bouchers,and of Coockes,vvhich much
ratherrake a knife vvith an eminente belly , and in
manner,and forme of a razor, then of ſuch an one
vyhich repreſenteth a balfe moone, |

E, E, E,' Demonſtrate the Savve v vhich is vvholye a-
mountede, vvith the, Bovve, Blade,and handle, and
is in Latine callede Serra,ſhe is not hcere placede in
her magnirude, becauſe the place, can not heere be
foe greate,vvhich mult — be a yoo
foore,and ryvo inches of length in her ,& the
handle foure,or five inches longe,

F,A little pegge of lron,vyhich houldeth together the
rvyo pecccs of the Bovve.

G,An other iron ſcrue,vyhich combincththe blade,&
the bovve together.

H,H, Tvvo branches of the Bovy c.

I, Aviſc,

K,The ſe Handle.

L, The Blade alone ede,

M, The end of the ve , vvhich is clefre, inthe
vvhich,the cnd of thc blade vvith the hole therof 15

ur.

» The hote,or perforatione,vvhich is in the blade-

, The ſcrue,vvhich muſt have his penetratione clea-
nethroughe the bovve, and the blade, as _ylayniye
vve may behoulde the ſame notede vvith G,

N, Significth the viſe vvhich is occultedein the end of
the handle,vvhich atrayncth to the end of the blade
notede yvith O,by that meanes to dravve in the fa-
mc,and faſten the fayede blade.

|

ave the vile.

P, A ſplitte,vvhich is in the blade, to receave therin a
ſcrue norede vvith the figure 4.

4, The ſcrue, vyhich is thruſt cleane throughe the bo-
vve thcrbye to houlde ftalt the blade.

———

—

. of the end of the handle , in tlie Yvhich is a fplitre,
throughethe vvhich the blad- pzil ch, vvhen vve
delire toprepare the ſavves.

12,3, Demonſtrate ceitayne little {crucs ,to victhe fa-
me in time of neceſinye. |

R,A dentifiede , or toothede Crovves bill ro clenche
the vaynes,and take houlde theron,the Ioyncte be-
inge extirpatede,and vve deſire to religare the ſaye-
de vayncs,it is in Latine callede Roſtrum Corvi-

num:
| $, A rcſorte,or ſpringe becauſe it might allyvaycs be

aperre.

T, The bille of the ſame, vvhich on his end is rovynd,
and roothede becauſe the threde might vvith the

| more facillitye © _ therover vvith out beinge in
_— |

V, The Needle , vyhervvicth vve convenientlye may
ſtirch,vvhen vve deſire to religate a Vayne and as in
Larine Acus.

X,A hollovve knife L,Culter fiſtularis, G,Syringots-
me this Inſtrament occludeth ir (clfe in the pipe.
1, The p_ or of the ſame, vnder the
vvhich alittle bullet of vvaxe is faſtencde, or ſome
other plaſter , leaſt char the poyncte ſhoulde hurte
ſome other places vvhen as vve intrude the ſame
in anye fiſtle,thruſtinge as it vveare in anye ſounde
fi-ſhe,vayne,arrcrye,or ſinnuc, vvith this Inſtrume-
tein a ſhorre time vve maye deſcide theough a gre-
ate qvantitye of fleſhe, there are ſome alſo vvhich
vvith this knife at one time ca cutOf agreatequan»

titye of fleſhe.
Y, Reſcindente,inſtrumentes to cut of fingers: L,For-
cope exciſoria,this inſtrumente mult be greare, and

The Finger vyhich is ſpoylede and corruptede.

|

How weought reſtraygne the bloode

after the extirpatione of a loynite, Without v«

| /nge nye hot Iron , onlye throughe ligature,

ich 15 of t v0 ſortes, ether With the CroWes-
bille,or withthe Needle.

a,a,Signifye a hippe from the vvhich the lepge is ex-

tirpated.
b, b.The Vaynes & Arteryes by the vvhich the bloode
cx ſulteth,and ſpringeth our.
c,cBoth the endes of the Crovvesbille, vvhervvith the
C_ are comprzhcndede, by that meancs to tye

them.

d, The Crovveſbille.

e,c, Both the focilles of the Legge:

| f, The ſpringe,or reſorte of the Crovves bille.

88. The _—_ the fiſte 1 - —_——_—

, The , or mouth of the Va , ourofrt
vvhich iſſucth bloode. 0s ”

i. The ſituatione of the Jams:

I, The place vvher the firſte ſtitch muſt he placede on
the one ſyde of the Vayne: and hecre is to be note-
de,thatvve muſt firſt thruſte , in the { kinne of the
, Yvithout vyholye dravvinge throughe the
t .

m, The evente of the ſeconde ſtitche, vvhich muſt, be
| begiine one the other fyde of the Vayne internally
inthe Arme,and muſt pearce thronghe the ſkinne.

n, The little comprefſione, vvhich muſt be interſitua
tede bervvecne the ſtirches,as tovyardes the lettre a
& the knittinge,theron both the endes of the thre-
de reaſonable ſtifſelye:this little compreſſe, preven-
ecth rhe cuttinge throughe of the threde, and cau-

Q, Theendof the fayde Bovye , vyhich is receavede |

{cth noe payne.

of Inſtrumentes,of Chirurgerye.

W\
V \ \WW
WWW.
. f \
WV

dd W
: W A WW W Wo WW d\ v\\ WW

| \\ \
Y\

i W & \
WE
- _——
WAN \

1 COA, ART G a ”

wr
\

o Md
ch

ee ——————_—_—_—_—_——_—
—_ —_— 4 = mY
— : - _—Y
— — — —— — -
——— c— come nn ne == =
_ " -
-
SD DIVD IVY
o
*

— --

141 R441

FF, FF?

4 17

FF /
AL, - "#

a "oo ini XX” a> am... IR

TheTheſaurarye,or ſtorchouſe

Declaratimeof the Charatters con-
taznede in the Inſirumentes , Which axe apte to
openc anye Apoftenarions.

A,A,A, Indicate vnro vs thre copper,or ſilver plates,of
the magnitude of a crovvne,or like acoucr,in the
middeſte vvyhcrof ther is faſtenede the acuiryc of a
Lancert,norede vvith B,

The vie of thoſt ſaycde plates, is onlye to hallaciona- |
t2,& deceave, thoſe, vyhich vvill not permurtan a-
pertione to be made in theire Apoſtemartiones, and
are to timoroule,& fearfulle of rhe hande,or lancer
of the Chvyrurgiane,as commonlye arc vvoemen,&

lirtle children: & to open the Apoſtemation beſyde |

theice expectation,and intelligence :you mult have
In preparation your —_— and before the ap-
plication therof you mult have 1n a readines a play-
{t-rof Diapalma,or ſome ſuch lixe,vyhich muſt
ſomvyhac larger then _ plare,on the vvhich pla-
ſter you mult applye the plate , vvhichn like forte
alſo,vvub the acuny therof muſt be covercde vvith
the ſalve Baſilicon , vytick beinge finiſhede, you
mult applye this plaſter b:inge 1n this forte prepa-
rede,on the place, vvhere you coniecture the fore-
layede armaions mult be openede,& rtherone
the Cataplatma, on the vvhich you mult che (tiflye
cruſhe, and by that meancs e and apertione at
one cruſhinge in the Apottemarione, — the
poynctc of the Lancerte, vvhich is one the plate fa-
{tencde,inro the concavitye vvherof the matter as
then vvillifſuc out:I my ſelfe have oftentimes vicde
this ſame manner of apertione, vyhich although ir
ſceme to be but a ſimple ſhifte,itis noryvarl
dinge an hallucionatione vyhich oftentimes is very

neceſlarye. k

B B,B, The thre poynCtes of divers magnitude,accor-
dinge to the A tione Vyhich vvedelire to
open,vv hich muſt cther be greate or ſmalle accor-
dinge to the Apoſtematione vyhich vye vyoulde o-

vvithout intelligence of the Patient,

C,C,Dcmonſtrate the Ringes, vyherin are occultede
certayn croocked Lancertes,vvhervvith vve ſecret-
lyecan an Apoſtematione vvithour the perce-
avinge ot the Patienre. !

— Croockede Lancertc,beinge openede,& crec-
rede,

E,TheRinge vvherin the forefayed Lancette is occul-
tede and hidden, as a razor in his handle. Thislan-
ccrerecterh it ſclfe chroughe a little eminence , or
hoocke notede vvith *,*.

A —_ ns pc hoocke, q

0, 4nc ye Lancertre, vyhervyvir| vve open an
Apoſtemarion,vvherin vve make inciſiones, & ſca-
rifications : the Latiniſtes call it Scal am Chirue-
gicum,the Grecians Smilcs, & alſo Smilion or Pre-

omon.

G,G,A little Razer, |

H, The poyncte of the ſame, yyhich cutreth on both
'F

des- |
I, A Flammetre , vvhich is verye ncceſſarye to ſcari-
fyc,& ſometimesalſo the phlebotomize,or toopen |

|

| oncholetotheother,& make
Lancer,

; nye ſmalle Apoſtemations,
K ;I he Acute poyncte vvhich cunerh one both {4 des
L, The Lanccrto phlcbotomize called in Latine Scal-

pellus.

M, The caſede Lancerte,

*, The blade of the Lancerte, |

N,A little croockede Lancet L,Falx inciforia , Culter
hiſtularis,& of Celſus, Sparumen curyam,becaus it
5recurved,and ſemilunare. |

OS, The acuitye or poyncte vvhich cun@h one both

lydes,
P, The croocked lancet vvhich is occludgd in hercaſc.

,Q, A Cauterye vyhich is verye nec ro opethe

Icerati6 Ranula vvhich is fituarcd « the rung.

, I he eminence,or butrone, vv hich is as vvell c6omo-
dious,to retaynethe hot iron c,as alloc to be ſtayed=
throughe the hole, |

$,S, The platetolay in the mouth, becauſe vve ſhoul-
de nether burne the tunge,nor the mouthe.

T, The hole vvhich vve muſt fituate on thatplace
vyher vve purpoſe to make the apertione,and place

V. The Empire C ef:

» I he Empyqve Cauterye, verye neceſſarve toopen
the ſcene Apoſtemations of the Breſte, cal -
lede Empicmata.

X,The poyncte vvhich muſt beflat,and reſcindente.
Y, The holes vvherin vve thruſte an lron Peg8e.t0 pe-
netrate,asdeepe,& as ſhallo vyc as vve pleale.
Z,The little pinne.
1,2, The croockede plate , vvhich muſt be religatede
thyvarte over the bodye : the perforatione vvherof
3,is notede vvith 3,vvhich muſt be collocated, on thar
place vvhere vvedcſireto make an apertione.
4:4,4,4, Little Ligamentes, vyhich houlde faſte the
plate on that place, & mult be tyede on the bodye.
a, A propre Inſtramente tolaunce the fiſtles from the
a greate inſcilione,

> Th eſte —_ h
Cc, Thearreſte vy ith it is reſtraynede,& held faſt,
d, Theextremitye,& poyndte vyhich is croockede,co
receave the ct,
e, The Provet,or ſovyndinge irone.
The vc of this foreſfayed Inſtrument is this:to vvit-
te,that in thoſe fiſtles in the vvhich are rvvo aperti-
6s,as in thoſe in the vvhich is made a counter aper-
tione:and yvher it is neceſſacy,& requilite, ro make
of theſe,tvvo, holes or oritices one aperrion it is firſt
ofall reqvirede, that vve ſounde the depthe of the
fille, vvith this Ing irone Vyhich i heere de-
rede vnto you:vvhich at the one end hath a lit-
le burrone,& atthe other end is pearcede,& eycde
like a Needle , vvhere yvith vve make our Seton:
yyhich beingethruſte from the oneapertionero the
f,f, other,as from the one f, totheother F, accordinge
to the de of the fille: vyhich being done,
vye muſt the lictle hoocke of the croockede
licet into the eye of the privete,& then dravve the
ſame vntothe burtone: Inge the Reegncy
lancetre vvith the other hande : and alt e it
vveare the crafſitude of rvyo fingers , you ſhall nor
ſe chuſe,bur cut throughe the ſame , if ſo
be at the leaſte the foreſaye decroockede lancer be

but ccaſonable {harpe.

————

_—

of Inſtrumentes,of Chirurgerye.

——_—

Ge eee ee — _ ————

———

- ” j i / WI /

_ — — —

I 1)
it / o/ WY
Ws 4
11, IF

| ESR)
—C TX "Dx.
| SD SE :

FL.O5 AC "
TISSITTPHI

FTI FZT

ADDY
TEST
$1447
7 ",
4, FEEL 708
"ss

whhgis.' '/ iT |
er

\ £ poſiemationes

Fnſrumentes to open

TD ues

—_— A

— ————

TheThelaurarye,or ſtorchouſle

Declaratis of the Charfters, which

are contaynede in the Speculo oris, Matricis, &
other more Inſtrumentes for the Mouthe,

A,A,Shevveth vnro vs the Sp<culum oris, G, Glofſo-
Catopiron-

B, The plate vvhich is laycde inthe mouth, to Keepe
dovvnc,& fuppr-cs the range.

C,C, The Briches vvhich vve impoſe vnderthechin- |

'ne,others, vic only the plate, vvithour the braches.

G,G, The Inttrumente, vvherevvith vve religate the
Pallate of the mourhe,the ſam? beigge to longe,,0C

is m Line callede Vinculum Gargarconts, =

H , H. Both che brauaches vyhich are placede inthe
mourhe,

I, Th: Knortedethrede , in vvhich knorr the Pallate
mult be layede, it to be vye deſire to abbreviate the
lame,

K,The viſe, vvheron vve muſte impoſe the handle of
the In!tramente the [amt being ofty vo peeces be-
c2uf- 1t might be the more portable.

M,Thc handle, ;

N, The little icone barre , rovvndeaboute the vvhich
vve mult circgvolute the threde, it muſt be in tvvo
agg pertorated,to lt the threde patſe ther throu-

©,
L, The Keye vvhich rurncth aboure the lirtle barre.
0,0,0,0, The miroure,or behouldre of theWombe,
L,Spcculum matricis, G, Mycrocaroptron or Diop-
tron:lt 15 verye neceſſarye to open the entrance , or
n«cke of the marrice by that mceancs to apply any
remedyes vmo the vicerationes,& other bad diſpo-
itonsot the Wombe. -
P,P,P,Thebraunchesvyhich muſt b2 7, or 8, fingers |
breadth longe- :
;The viſe vvhichcloſeth,and diſcloſethe.
;The handle vvhich cauſeth the viſe ro turne.
S, Averye neceſſarye Inſtrumente to Cauterizz the
Pallate of the mouth the ſame excelling his natural-
le longirud*,& crafſicude, callede in Greecke,Sta-

y
T,A little ſj ,vvherin may be laycde any Cauſtic-
ke _ r,or aquafortis,therin to madefy rhe ſaye-
de Pallate or Vvula:lt is right eruethatvve oughtto
coverthe tu Jleaſte there Gill anpeth ether 0- |
Re Pepper ane Gonlee tbeinge together mix 4
ris, vic an : c c le,
vvhervvith they touche the} pendente pallate vvith
this ſpoone, in the yvhich theyc impoſealittle of

this | —

V.,Little Pincettes conveniente roapprehendethe fo-
reſayede p_ & turne about the ſame calledc in
Greecke Staphylagra, vvhich if they vveare reſcin-
dente,they are then callede Staphylorgmon.

X,A Dilatory ofthe mouth,vvhich vvith a viſcis tur-
ned aboure,& is very neceſſary thervvithto dilate,
and open the mouthe, vvhen the reethe arecloſelye
ſhure as itcommonlye , hin the
convulſions, vvherin are little furrovves,becaus the
tcethe may be faſtenede thereon vvithour glidinge

thereof. |
Y, The one leafe of the ferclayede _—— |

;

1oyneth ir ſelfe vvith the other leafe noted vvith Z.
vvhich alſo in the externalle ſyde theroft is lincde.

» Heerin entercerh the viſe vvhich is faltencde in the
in fcrioure plate.

m,m, The vile.

a,b,Lartle thinne,& longe pincetes to dravve'all man-
ner of little thinges out of the throte callede in La-
tine Spinarumreductorium,G, Acantabola.

c,c,o, Anarnhicialle | —_— roofe of the mourhe,
vvhich is a goulde plate,as thinn,as a freche crovv-
ne,L,Palarum,it 1s compoſede,to retayne thervviuth
the beeath, from the roofe of the mouthe,therbyero
evite the ſpeaking throughe the Noſe. |

There are ſome vvhich can not verye vvell ſuffice the-
ſelves vyiththus plate,by reaſon that the gould ſini-
the can not ſoc conveniently make the tame,that it
zquallye of all fydes doc touche the Pallate of the
Mourth,ſfo that in iteade thcrof they vic,a tente ma-
de of linte,or of Spongz,to the vvhich intente'the-
re are divers vvhich are provide<de of them, becauſe
that if the one fell out, they incontinentlye have an
other in arcadincs, & atione to puttherin, be.
cauſe othervvyle they ſhoude ſpeake throughe the

Noſe.
d,Dem6ſtrateth that ſyde vvhich muſt lyc next to the

runge.
e, A little plate,vvhervvith the great plate is faſtenede
vvhich is on the other [yde , vvhich is thruſte into
bh, the hole of the ruofe,nored vvith h,to this end that
irthere might as it vveare (i :There are ſome
ofthe Greeckes vvhich call this Inſtrumente Hy-

f, The extremiryc of the ſaycd Plate, vrhich inthe ſe+
conde Plate 1s notede vvith h,vvhich is thruſte imo
FE ee os acti

1or planitu r re,vyhi IcKeth

I faſt ro the roote of the mouthe, as if it yveare glue=
de thereon.

h, The lirtle plate vvhich is turnede vpſyde dovrne&
thruite into the hole of the roofe.
m,m,An artficialle roothe, vvhich is compoſede, and
_ I voryc,or ſome other — ich s fafte-

ne roughe ſome certayne e vvyer,

n,n, Thre artiticialle teethe ne goon hard ro-
gether,& faltenede the one to the other vvith ſome
aureatefilamere,or gould vyycr,vnto the other tee-
the one both ſydes.

Theſe arwuticialle teethe are forntimes made of Ivorve
but becauſe Ivorye by reaſoneof the ſpitle vvaxeth
immediatly yellovve,and fulvide,thcy are more fit=
ter to of anye otker bone , the ſarne being ve-
rye harde,and thicke and dence, or folyde, as 15 the
bone of a fiſhe vvhich in French vvec call Rovarr.
Farthermore anye bodye by atte may make teeth
of yyhite yvaxe vyhich beinge meltede,& liquefac-
rede yvith asmuch gumme 1, Or alittle Ma-

ſticke,vvhire ,and preparede e5 & ther
of a palte beinge made, of the vyhich vve mey for-

me as manye teethe as vve pleaſe. This 15 alſo
veryecommodiouſe to repleniſh ID

vve toothe, becauſe ther might noe viandes remay-
ne therin,through vvhichr
morc intollerable payne is heer bye ſaſcj-

tcethe doc more cor-

©
rated

WC
_ — ——
— m—_
_ —— ——— —_
Es no a eps _

of Inſtrumentes,of Chirurgerye,

m_—COOOD— -———c
tm

Hee Speculum des. Monde ende dey Ls fme

moeder f TO"
þ

p_

n F , ” - -
- |
"TT 2© ) |
' , — = * 7 _ . '
WW) 1)W 4. 44046440000 40000 00 000000m4w hed) v0 +04 1099 FRogh agen Ng tent et ; / CG C
_ 4
TT WL — = #/ //* ,
/ [
_ 4 Mt » #
" F ET) ,
/ /; D/ hon

SK ab | Speculim of the

—— O—
———— _

|

4
RS

.
a *

— —

Declaratig of theCharatters which |

A,Demonſtrateth tke Crocher' vvith a dubble hooc-

: HE OIIIS daunger of her lyfe,
»

B, The ſ:conde hoocke vvhich is flatte and blunte,
C,C;A little croockede knife vvhich is verye cnet
ye

ſue.
I have divers and ſundryc times binne ſenre for, to di-

D, The Peſfarye in forme of an Apple vvhich is made

herin conta X
Ti Lite vyhichlI nw vſt ſuch manner of Peſ-

_— OO —— — ” —-

The Theſaurarye,or ſtorehouſl«

are coxtaynede in the figures of the Hoockes, and
knives Which are m_— and convenient,
zo dra'vve forth a deade Child out of the Mothers

bellye- alſo of the o_ ., Plates and of other | |

thinges neceſſarye to the Ligatione of the fiſtles

of the fundament .

ke vvhich mult not be ſharp,bnt blunte,leaſte that
internallye they chaunce to vulneraterhe Wombe,
by vyhich meanes the vvoeman mught be in greate

he hole throughe the vyhich muſt be thruſte ſo-
mecertayne tring, totye thervnto a Naptkinne be-
m_ = mighttvyo at once pulle vvyhen it 1s ne-

conveniente to in{cide the H-ade,and bel
of a deadeChilde,internally in the Wombe,becauſe
the vvatcr , & aqvolitye might heerbye have his if

yers Woems, vyhich vvearc in difhculte laboure &
Childebcarth, notvvithſtandinge I never vſede any
hoockes,or other ferrealle [n{trum-ntes therto, for
vvhich occaſion I alfb councellall Chyrurgianes,to
vic none of them,then in exrreame ye, for if
ſoc be there happenanye other accidente there vn-

t0,45 excoriatione,or anye cffluxzione of blood, vve

multe then attribute the ſame vnro the Inſtrumen-

te,vvhich the Chyrurgiane vſcde thervnto: Never-

theicſſe I have hcerc cauſedethem to be ſet dovyne
ynto you,to vie them in the extreameſte —
and heere is to be norede, that the Inſculptor,or In-
gravereto adorne,& imbellif he his laboures, hath

participatede ſome propre,and irefaſhonero

the handlc,vyhich indcede is thereon inviye , and

needeles, becauſe it is berrer,that they be playne, &

ſmoothe becaus they faſte themſelves on nothinge

of Corkc,and is circumveſtede vvith yvhyte vvaxc:
this —_— enteth the deſcendinge, and finc-
kinge out of the Matrix. The Greeckes calleit Pcſ-
ſon,and the Lartiniſtcs Peſſarium, There are ſorne
alſo made after an Ovale figure, rov vnde, and ſom-
vvhat prologatinge like an Egge, and of divers ma- |
nitudes:but quotidiane experience hath taught vs,
Char they are not ſo neceſſarye,and commodious,as
thoſe vvhich are ofthis forme , becauſe theyareto

ſlipperye,and can not be hilde {> faſte in the entran- | |

ce,or necke of the vyombe, ſo that oftentimes they

ſincke theroute, andin like ſorre alſo the vyyorbe,

ryhich noryvithſtandinge reqvireth to be continu-
e

\vvas the right vyorſhipfulle M* Rouſſer,on
Cie KingesChin | yr of the Ladyc of Ne-
mours, Vyhich hath learnedlye , and ye
vvricten,of divers fortes of the Woomens parturio,

—
Ce

|

vyhere this forme of Piiſzryc, <rc detigurede , and
the manneralſo of his vic.

E, The hole vvhich is in the middeſte, vvhich ferverh
ro dravve therbye the peſſurye out of the vvurabe,
vve thrulitinge our tinger in the hole. |

*,*, The linte vvherone the Peſſarye is faſtenede roun-
de a boute the bodye of the vvoman.

F, An argentealle plate being ſemilunare, & ſomvvhat
reflectinge invvardelye,tovvardc the 1atcrnalle part

beinge notede vvith G.

This plate,or this invention hath oftentimes binne v-
ſede,of M*-Girart Raber Chyr urgia at Paris,vvhich
vvasa verye inventive,& perquiringe man, in ſear-
chinge out of Chyrurgicalle Ini{trumentes,and alſo
the moſt te practitionere of his time.

G, the Knott vyhich is layede above the ſilver barre.

H,H, The cealle,or Lilver barre,or e.

I,LI, The little ringles, vvhervvith the littic barre is fa-
ltenede,vvhen ce paiſeth therthroughe:this barre
may berurnede as much and as little as vve pleaſe.

Y, The Privet , or Needleto religate the tiſtles Hippo-
crates calleth it Scorodou Phylinga, vve may allfoc
mon rtheire | —_ blunte,to _ che ſame the fiſt

c ou_ ye apparent,and may caſylye be ſee -
ne: burif ſhe lyc occulte,and inviſible, and that vve
muſt neceſſarily perforate any membrane,ſhe muſt
then ventlyc be acute,and \ harpe. She mu-
ſte alſo be of filver , and verye vveake, becauſe ſhe
may be ſuple ro bendc at our pleaſure.

Explanation of the Charafters con-

taynede in the figures of the Inſirumztes to dra-
we, breake, and cut of teeth,

L,L,Demonſtrate the tonges,vvhich are verye conve-
niente,tocut of all ſupertluouſe teerhe or at the leaſt
thoſe yyhich are co longe:they are internally inflec-
_ » by that meanes the better to faſten on the
teeth,

e, A ſuperfluouſe tooth vyhich is halfe of.

M, The Polycampe,L,Polycampus, G,Odontagra, and

It is an ment vvith divers bri-
ches,vvhich ate all ofthem intrudede in one hand-
le,throughe alittle ſerve.

N, The ſcrue vvhich ison the Inſtrumente.

O,One of the braunches of ths Polycampe.

P, An other extendede btaunche.

bee thirde braunche,

b, The viſe beinge raken our:

$,S, Demonſtrate the Inſtrumente, callede the Parre-
teſbille:L,Denriceps, Dentiducum Celſus calleth ir

F n.

d, The vvhich is helde faſt betyvcene the teeth
of the Inſtrumenre.

T,An Inſtrument vyhich looſenethe the gurnmes fr6
the reeth,callede in Latine Dentiſcalpwum, G,Peri-

| Cc haracter.
V, The expulſer,or thruſter out L,Pulſatorium, G,O-

tcrion,s
X,X, The Roote dravver,G,Rixagra,Itis an Inſtrume.
te verye ne todravve out any roote of a too-
he , vylwch remaynethe in the Chavve vyhen the
tooth isbroken,or corruptede,and rotten.

of Inftrumentes,of Chirurgerye.

——_—__CK__

—_—..

rt —onm—mn————

Hacks to drane forth a Chill

= »

3, >

Q R : 192%, of ance® cvn FCEngy 03 SHO WNLLFUf £49m1C7,” abi X | _ _—_

—— — | —C— - — —
— —

f

TheThelaurarye,or ſtorehouſle

The Declaration of the Charaflers | | "Tix holethroughe he yihich ve theuſte theend

th
Which are cont a rynede in the table of the aitual- ay + lictle ribbons, yvhichare n<ceſſarye to ryc
the plate one the Arme , Hippe,or anye other parte

le Caureryes. of the bodye,vvhe vve yvyoulde cauterize che ſame,
A,Detiguratethe a Cauterye vnto vs , vvhich hath a leaſte that in the operatione it ſhoulde glide avyay.
ncte Iike yntoa Raper, and iscallede in Latine | | Y,A Cauterye vvhich is verye nece(ſar ye to cautcri-
alts,vvhich is partlyc on both tydes reſcindente. | ze the of the mourh,callede in Greecke Sta-

B, The poynct vvhich mult be of the craflitude of this phylocauſton.
lettrs, becauſe it might che longher Keepe horr, Z, I he end of the ſame vvhich is re ſcindente.

G,Is the handle, vvhich is ſmaller then it is needefall, X, The canule,or pype, vvyhich is veryc neccſſarye,to
and mutt be fourc,or tive inches long: and in like conducte the Cauterye into the mouth , vvhen vve
forte alſo all thc other handles of the other Caute- deſire to cauterize the pallate of the mouthe,or any
ryes,vvhich arc heere notede vnto you. | . other oo

D, it is a backed: Canterye ,vvhich hath a backe like z*, The little vvindovve,or apertione,vvkerin the pal-
vato a «nife, vyhich cutterth bur one, the one ({yde, late of the mouth muſt be receavede, therein crher

"TER IIs I YER Wo I RIOT En" PCs
. ”
\%

$- and for that occaſione hath athick« backe, becauſe to be cauterizedec,or extirpatede.
it ſhoulde continue the lo hotr, and «ttcctuate A»The wm throughe the yvhich the Cauteryc is ap-
JR his op<cratione fo much the berrer, | plye ©
E,The reſcindente ſyde. 1, The ringe of the canule, by the v vhich vve houlde
[1 [l \The backe vvhich muſt be veryethicke. the ſame ,becaus the pipe being fervefyed the Chi-
* The poyncte yyhich muſt be foure goode fingers rurgiane chauncede not co burne his in cxc-
| breadth longe curinge his operatione , by the vyhich hu vvorcke
| G,This Caut-ryc is rotunde concavoulc,& reſcinden- might be interrupre de.
re:vve vic ittocauterize the ſkinne of the Heade, », The hole of the ring, through the vvhich vve may
| vv hen as ſuddayaly vve vyoulde trepane the ſame, thruſte our finger, to de the forclaycde ca-
| as being: 1n anye compagnye , and in cutringe vve nulle.
| feare anye __ fuxionc of bloode , tothe end to | | a,An other Caurerye,vvhich hath a rounde plare,and
; vive,ormake place tothe Trepane, 15 verye neceſlarye to be vſede after an extirpatione,
H, The cucle,vvyhich 15 rovynde, and on his end is re- thervvith rocorrccte the corruptione vvhich is as
ſcindente. yet remanente : it is allloe neceſſarye to abolil he,all
I, The poyncte. | greate corruption of the bone, it 1s of the Greeckes

if L,The punctualle Cautery,vvhich is quadrangulede, - ——_— Mylins, becaus it is not miſlike vnto a Mal-

and acutc,it is necefſaryc to op:n anye Apoitemati- one.
ons. _— I h C, The craſſicude,vvhercbye the Cautery is longe con-
M, The poyndtc of the Cautery vyhich igallmoſt four- tinucde hott. ;
cornerede. b, The place vyhere the holes are,throughe vyhich the
N, This Cauterye may allmoſt be callede the Olive ſmoocke,& the moyſture, of the aduition may eva«
| Cauterye,becaule it is allmoſt like vnto an olive : It porate , as before yyc have layede in the Cavicrye
is a little hebede, and flatre on his end : We vſe this vvith the plate.
Caurery,to cauterize the Heade eve vnto the Scul- | | d, Another of Cautery vvith a ſharpe butrone,

le,or Cranium:Alechampe calleth it Pyrinoides. neceſſary to reſtraygne all fluxions of bloode, vvhe-
O, The Olive burtone. ther it be out ofan Arterye , or out ofa yayne cut a
P,A Plateformede Caurerye: vvevſc it after the exrir- {under, vvecollocatinge the ſame above onethe a-

*: 4. by - EP
RO w—_——— _-—__ — —
_

tionc of a membre,to cauterize the bone , & rhe pertione: It may alfoc be vicde after the extirpatione

Heſhe,and the yvhole parte alſoe, vvhich mighrin of anye Ioyndte.

anye forte be aulterede by the corruptione, or Gan- e, The ſmoorhe buttone, vvhich is omevyhate acutc.
f,A rotunde Cauterye according tothe longitude the-

of craſſirude of the fayede Cauterye, becauſe ir —"—_ is verye ncceflaryc,agaynſtc all caricsof

- 4 ———_ ds ©.

3 might the longer continue hore. :
i 4,4,The perforations,or holes vvhich arein the plate, | 8. The rotunditye ofthe foreſayede Cauterye.
: becaus heerebye the ſmoke might exhalare, vvhich Another flatre Caurery,vvhich is alſo very commo-
; throughe the cauterizatione is made. .. diouſe ro correcte the caries of the bone,
' R, The Cauterye vvith the burrone , vvhich is verye | | i, The one ſyde of the Cauterye.
4 | profitable to {inge theſkinne in anye place there to | | 1, Thatyvhich muſte onlye touch,the carics of the bo-
FT make a fonranclle,in ſteade ofa potcntialle cautery. ne:We may alfoe heerevvith ſuffice our elves inthe

Hippocrat: $ callcth this kinde 0 Cauterye Falacra, Caureriſinge ofthe orifices of anye vaynes, or Arte-

} L.'Calvata,becauſe they are ſmoothe and even, like ryes,vvhich arc (iruatede beryvcenthe bones of the

| vntothe baldenes of a mans heade. * arme,or of the Legge.
| S The even,& {moothe buttone of rhe Caurterye. m, The handle,vvhich is fomvvyhat Chorter,and thin-
. T, The plate vvhich vve imploy leaſt vve 1 bur- | n:rthen it ought robe, becauſe of the lucele quanii-
ne anye othcr thing, but that vvhuch vve cauterize. tyc of place,

| It is impoſſible for the Chvrurgiane to prelente in this placeall the figures, & portray-
tures of the Cauteryes, vvhervvith he mult cotente himiclfe:for he muſt ſometimes cau-
ſe them to be forgede accordinge tothe requiringe of the Operatione, & the parte, vvhere

. on he intendeth to vic tne fame, vyyhertore | in this place have done my endevour to place
& collocate together ſuch Caureryesasare moſte necefſarye, & novyvadayes in vic, vvhere-
in Ionlyc have coliderede, & obſcrvede theire magnitude, & craflitud: And as cocerninge
their braunches, & the handles of the ſame, have onlyc binne obſerved in tvvo, vvhich are
notede yvith A,h,the Exicuiptor havinge ingravene the ſame, ſomyvhat ſhorter, & ſmal-
ſerthen he ought:I moſtecomonlye vic ſuch Cauteryes vvhich be reaſonable ſhorte, be-
cauſe thole vvhich are of togreatea longitude, & bignes, doc affrighte the Patient, as allo
thoſe vvhichare too longe can not ſocalilye be condutede, & rulede, becautc they doe
molte comonly yacillate, & turne this vvay , & that vyay in the hande.

—

>.

of Inſtrumentes,of Chirurgerye,

Jo" Coan Drunſobe Actua

—
_

le (Cauterien

-_ p " : gan —_— "s
> he + i 220
CY

_—

a
en ___
-

tf

/

a

&
——_—
. : . « ” * pat ym.
—_— CR OG. IF % p
a ---

TheTheſaurarye,or ſtorchouſle

TheDeclaratione of the Charafers which are contaynede m the T able of

thoſe Inſ!rumentes Which are prepre,and conveniente,to the cxecutione of all mannalle operations
Which in the Fyes may be by anye meanes wſede.

Althoughe that I in this Chyrurgeryec have notdiſcribede the manualle oneratis, vvhich
may be vicde in the infirmityes of the Eyes : Yet notvvithſtandinge 1 vvoulde not, ncther in-
deede coulde omitte in this ſtorchoule and treaſurye of all Chyrurgicalle Inſtrumentes, the
portrayQtures,and figures of thoſe Inſtrumentes, vvhich are neceſſarye, & commodioule vn-
to ſuchan effete of deliberate, & ſet purpole omittinge the operations of the Eyes, becaus at
large I have diſcribede, & amplely ſet forth, cverye ſeveralle operation,in my Treatize of the
Intirmityes , anddiſcaſes of the Eyes , vvhich I commitrtede tothe Preſſe in the yeare M.D.
Lxxxv.to the vvhich I committe the gentle Reader,there to behould the practice, & ſeyeralle

vic ofall operations of the Eyes.

&, Demonſtratcth a rrianglede Caurerye,to apply ther-
vvith a Seton, vvhich = ickcthe,& wh So
vyhich Cauretye 1s applyede cleane through the per-
forate rong<,orrenacle,vvhcrvvith the ſkinne of the
-—_ is apprchcndede,for the Scton to paſle throu-

ghe.

I I, The Needle for the Seton, or tranſforatione.

B, An other N-edle for the ſame intente,, and purpoſe,
vvherevvith vvye ttanſforare the ſkinne vvithout the
renacles,or tonges.

C,C, The ronges for the Scton,vvhich ar pearcede, to
ehrulte there throughe rhe Scron.

D,D, Tvvo holes,vvhich muſt adioyne vnto the reflec-
ctone,VVhich is norede vvith n,

n, The reflectione vvhich is notcde, & vvhich is made
becauſe the hom Cautcrye , ſhouide not chaunceto
rouche the (kinne of the Necke.

E, The Needle to remove the Cataractes,andpearlesof
the Eves: And is in Latine callede Acus ocularis.

F,The ſame Needle beinge taken out of the Caſe.

G, The handle of the Needle.

H, The Ncedlc beinge vvholye takene out of her calc. |

I, The Coverture ofthe Needle.

»*, The pcrforati6 out ofthe vvhich the Necdle iſſucth.

g,f, Demonſtrate cerrayne little pincers, vvhich are very
n*ceſſarye ro yvoyde,& take a vvay any fithines our of
the Eycs,or if the ſunc cleave therin, vvhere ofthe g,
is like vnto a little, ſmoothe,& playne Earepicker, to
relevatc the ſame our of the Eye: And f,dem6(trateth
alictle pincer vvhich is flatt,& ſmoothe,to dravve a-
nyc thing thcrout,it ſo be it clefte therin,as a thorne,
or ſome ſuch like thinge. They are alſo very neceſſa-
ryc to plucke out the hayr of the Eyliddes, It is of the
Greeckes callede Maditteriontricolavis.

1, The portrayCture of an Eye , vvherin is preſentede a
Staphylome,L. Vua,norede vvith 2.

2, Thc Vua,or Staphylome.

3,4,5,6, The thredes paſſingclean through the Staphy-
me vyhich mult beconnectede rogether, vvhere of
the 3, & the 5. muſt be connectede the one vvith the

other & the 4.and the 6.alfo rogerher, becauſe every -

ſtitch might beryed aparre the on from che orher.
K, A Dilatorye of the Eycliddes, or the Speculd of the
, Eyc,vyhe vvc endevoure to take anye alicnate thin-
ethcrout,or els vyhen vve deſite to ryethe Staphy-
me,or cls cut of an Vngula: It is in Latine callede

|

j

|

Speculum oculi,Palpebrarum detentor,G Blepharo-
CatOCOs.

L, On this place the miroure of the Eyeopencth it ſel-
fe,accordinge to the - 275 of the Eye.

7-008 diſcriptione of an Eye , inthe vvhich is on Vn-

ula

8. The filamente vvhich paſlcth cleane throughe the
Vngula,to elevate the ſame, and by that meanes the
eaſycrto cur it of.

M. An arnticialle Eye of Gould,vvhich is engravene,&
vnder hollovve.

| N,A forme of an Eye,vyherin is defigurede an Ectropi->
on,vvith the externalle and internalle inſcuis vvhich
is requirede to the curatione of the ſame.

O, The externalle inſtifione, vvhich is madeaccording
tothe length therof.

P,P,An internall in{cilione,vvhich is alſoe made in the
—_ right ovcragaynlte the externalle.

Qu he the ſydelong, or contradictoryc Inſcilions.

R,Alirtle hoocke toclevate the Zcbel.

$, The Needle for the threde to paſſe vnder the Zebel.

T, A little Caurery forthe Eyeliddes vvhen the little
havres thercof turne invvardes.

V The Xgilopicke Caurterye,to cauterize the bone, of

thegreatc corntr of the Eye.

X, The Plats tolay one the Eye leaſt vve ſhould chaun-
cetohurte the fame,

Y, The hole vvhich isin the Plate ,to thruſte the Caute.
rye there through, vvhich pertoratione muſt be laye-

de right on the iltle.

a, A little canulle,or pipe foran other Caurerye.

We muſt heere norte,that this pipe,or canulle,muſt ha-
ve a litrle ringle,vvhere by vv c might honld faſte the
fame, for if oe be vvith a butrone vvc houlde it, vve
might then chaunce to burne our fingers, becaus the

c— internallye paſlinge throughe the fame , it

_ e not ſoc completlye be effectede;as it ought

to be.

b, The Cauterye. '
c, The haadle, ; |
d, The holesrorhruſte thercinalirtle e, leaſte vve
ſhoulde penetrate to deepe thervvith, & may there-
_ be ſomevvyhat retaynede,
e,T

clirtle irone pinnc,or pegge.

|

=

'

ot n{trumentes,of Chirurgerye.

, Dmrſche fnſtrumentmn Bequame TC) 00Y 2 Noa _=_
& C

« CT »” .
7 rye fnd(rumentes neceſFarre for the

— —— — _ —— =

The Theſaurarye,or ſtorehouſe

| : { | B, Thc ſhuttinge of the fayede caſe, vvherin the heele
The De c lar ation of [ he Char att, ers, is laycde,leatte he ſhoutde beare ro much vvayghr.
contaynede in the Figure, Which demonſtraterhe | | C,C,C,C, The vvinges of the caſe, or canal, yvhich
abs aca ety Yarcutiaud þ auld \n—__ litrie 10ynctes doc,revolve, & open, & { hut
" . = a. ' theml.ives,
make are/tanyatione of a humer.alle diſſocation, | | E,E,The little vvinges rvhich doe alſo open, & ſhutr
by the me.mnes of 3 In{/rumente callede Gloſſo- A nes, Ms wet being
comium,Which Hippocrates calleth Amb. "ok I —_ © ao _
» .+.+.*, Thc itoynctures vvhich are one the vvinges.
A,A,ThecextinJ:d Arme on the Giolſucome,our Am- PE, F, he latches, vohich paſe throughe theE _
Wo 33,43 [ | lar

ol B, The Ear- oftheAmbi,vvhich houldeth faſtc ſhurte | | 14 14 H Thaltackies though hich - latches paſly

> thc tu _ parte of the ſhoulder, becauſe ſhee | L,L,T,T, The foote of the Caſſole,or Canal.
$i ſhoaldc not {tirre, : M,M, The extre foote, vyhich paſſerh
) C,C,C,Th Liguaccs, vvhich firmelys contayn* the NS OE RE IgIns wy pa
b | ——_ tnat h{ Choulde g ide from the laſtru- N, The morrayces,or loyndtes,
F mente. ; ,0Q,O, aperre, ,or canal. '
EI, D, D,The pilarc vvhereon the Inſtrumente Ambi re- | (pA place _ yt, et is fituatede.
Y {t th,and playert, vvhcn vve litte rhe ſame vp,and Q,Q The Winges.
m #1 dovvne. 1ONE in TYVO peeces.
{© E,E,E, Thre fecr?, of the foote of the Inſtrumente, ro | R TS. lace of renghs the vvhich the fore-
$ © cautc the Inſtrumcnte one a boarde to ltand [teade- | "Gvede vvinges, doc revolve,ope,& ſhut themſelves.
t | faltlyc vvithou t MOrion?, FP G $ The foote. |
{ | F, The (crues, or viilcs vyhuch faſten the fecre, | V, The botome on the vvhich the af flictede foote ta»
I 6 _ keth his repoſe.
T £ » | | XX, The vvinges,of the fayede foote.
8 Declaration of the Charatters con ae chetde.. ehich paſſich
| " raynede mine Glojoromeor Ambi, the ſame through little mortayſes,vvhich arc on the vvinges. _
F © beinee taken 1 ſinder. :
'F TIE | | Declarati of the Charatters, which
mi G, Th: Inſtrument Ambi,beinge diſamcuntede,& ta- : '
# © hea tender. are contaynede , in the brokene legge , Withthe
is | H,H, The Eares b-rvvcene the vehich, the ſuperioure bandages there of. |

| | ; arte —_ _ 1 —

T W. ,theend of the forelaycde Inſtrumente. Demonſtrate Legge

3 | K, The eminence of Tc InftrumertcAmbi,vyhich mu- % The mm d- ry vyhich hath broke-
8s; ſte be collocatede in the Pillare, "nethe Legge.

| L,The ſplitre,oc clefre of the Pullare. | cc, Apertione vvhich throughe the bullete vyas made,

| 1 MONIES vyhich taltenethethe laſtrumente,in the "onthe other ſyde in the ifſue thereof.

"8. —v ..+.+,*,,* Aligature three times dubble.
A ol N 'T he pillare. 1L111,1,The dubble,bcinge devidede in three.
tt Q,0,0, The three feete,of the tandarde, 2,2-2,2,2,2, The ſcconde dubble,cut inthree.

4 P, The hole vvhich 15 in one foote, ; 3,33,3,3,3, The thirde dubble ligature partede in three,
= v Q, The Icrve, or viſe vvthuchis chruſt ther-in,ro cauſe , FSA forelayede dubble Li atures,arc revolute
BS Cauſe the toor. tv be helde fulte,agayuſt a boarde, de,firſtthe one,& then the other hlyc and cven=
F + ſituainge of the ſame:and then are cach
S 1 D / . h h orc the coyntte ofa needle faſtencd, according tothe
F eclaratione of the Charatters con- iuatons,orcollocaione ofthe Legge.

S : endo res of mans ye,
. * F nede inthe Caſſo {le,or Caſe neceſſary ez0 laye | and of the Vayncs,vvhich are moſt commonly _—

4 p a brockene lergethertn. | mednendetiGecftherhefincerye,or floor ouſc of
'T : the Inſtrumentes of Chyrurgeric.

A,A,The occluded *cafc,

of Inftrumentes,ot Clururgerye.

F. Glo Socomum Tan Hopes, V7 05
; s " Amb ghenoemt ©

v
"PF. >
> Wy ==

OS
vw

- .
OCom:

—— --

_—

7 JU: 1M Buns PL
Een yr dog en toe bs

$000
--

$444 <-S
o

$** - 54

2% is 72d He dn CIS

T he ſummary of the pricipalleſte,

and moſe e ſpecialle poyntes, Which are coray-
nede, and ſpoken of inghe operationes of Ch:

Yurgerye.
The Preface of the Chyrurgerye. Contav- |
ninge fourec Chapters.

Detinitone,and originalle of Chyrargerye,vvith the
operatione of the lame. Chapter.1.
The prognoſticati6,& iudgemente of vvoundes. Ch.z
Signes to knovye vvhate partes of the bodye are huc-
re, | Chapz
Adverticemeft: to give alluggde reporte before the
luſticiaryS$. Chap 4
The firſt Treatiſe, of the Opecratios of Chi-
rurgerye, vyhercin is diſcourſede,the me-
ancsrodravvcourall ſtrange,and alicnatec
thinges out ofthe bodyc. Contayninge ft-
ve Chapters.
T he vtilitye,6& neceſlitye of dravving out all ſtrange,
and alienate things. Chap1
Hovy that th: Chyrcurgian vvith all dextrritye to dra-
vve forth a bullet, mult conſidere on the differeces
thereof,and on the nature of the parte,v vheria the
bullete 1s contaynede. | Chap2
The bullers,& al! other alicnate thinges ,muſte inthe
tirite dreflinge be dravven our of the bodye, if ut be
poilibl-, and the mcancs vyhich vyc multe therein
V (22 | _ 3
Hovv v ve ought to dravve out the bullctesif they {tic
ke faite inthe bone. Chap 4
The Chvruimgiane ought not to be to curioule 1n Cx-
rracting- the bulicres. Chapy
The teconde Treatile of the operatione ot
Chyrurgerye, vvhcrein is ditcourſede the
meanes,to Trepanc the panne,or Crania

of the Heade. Contaynige lixe Chapiters.
The ſignes by vyhich vye may cſcerne the fractures

of the ſculle. ; Chap1
The Conrrctifſure of the bones of the Heade. Chap2
What fractures v ve onght to trepane, Chap 3

i
Hovv l6ge vve ought to deferre the trepaninge .Ch.4
What quatity of bones vve oughtro take avvay.Ch.5
The methode,and manner of Ucpaninge, GChap6
Thethirde Treatiſe , of the Operations of
Chyrurgeryc,of the lutures,and ſovvinge
ol vvordes, Contayninge lixe Chapiters,
What ſuturc,or ſtirching 15,& the vulirye ther of. Ch.1
What vvc ought in ſtircchinge of a vyounde , to conl-
dcrc. Chap2
Whar is necciTary vnro ſuture,& the manner of doin-
ge of the ſame. Chap3
The Specics,& differences v1 [uture,& hovy long vve
mukt ſuffer them to continue yvathout reſectione
thereof, Chap 4
The meanes to thrult in agayne the gurres,& the Epi-
pn hanginge out of the bcllye. Chap 5
The Gaftroraphaa, or ſuture of the inferioure parte of
the Bcllye. Chap6

The tourthe Treatiſe of the Operations of

Chyrurgerye, vyhercin isdiſcourſede of
the apertione of Apoltemations.Contay-
ningec tive Chapters,
Ofthe generalle aperti6 of all Apoſtemations. Ch: P 1
Of the vicerauons, Atcromata, Stcatomata,and Mc<h-
CETIGCS. Chap2
1he mcancs hovve to cauterize, & infcide the Empic-
mat. Chap3
The manntr of doinge the Paracent:ſc, & to dravve
owt the vvater of the Droplye. Chapg
The meancs to cure the Hernia aquola. Chap 5
The fitte Treatiſe ot theOperations of Chy.

ewwgcryc,of thediflcalcs ofthe Noſe, and

Of the Polypus
The Harcmouthe,or c!over:c Lippes.
| The rumefaction,& ſuperfluous fleſhe of the giimcs,

|| Hevv todravve,breake,c cutt of tecthe.

Th- treatiſe ofthe Dyſenteria,or Bloodyeflixe.

— — ———

Mouthe contayninge ſcaven Chapters.
Chap!
Chap2

called Pacoulis,or Epoulis. Chap3

| The retracti6 of the tung,called of the Greec kes An-

chylogiofſun,& of the tumefactis Batrachos. Ch 4.
Meanes to rye the pallace of the mouth,and to cutr of
the lame, Chap 5
The tumorof the Almondes,and the Apoltemacions
therot. Chap 6
Chap 7
The fixre Treatiſe of the operations of Chy
rurgerve,contayninge nine Chapters.
What vve ought to conlidere,bc<tore phlebotomye.
Chapt
Hovy vve ſhall convenient!ye open a vayns. Chap 2
What vve oughtroconlidere the vayne being opened:
and the bloode ifſuinge our. Chap3
The numbre of the vaynes,and Arterycs , vvhich arc
commonly phlebotomizede. Chapy
Ofthe apert;6 of the Artervcs,or Arteryonomye ch C
The Anecuriſma,& the manncr hovv to ligate, and in-
icide the ſame, Chap 6
The Cirfotomye,vvhich is the manner hovy to in{e1-
de the Varices. Chap 7
Horſeleechcs,& theire vie,and manner of applicatio-
ne. Chap8
Of boxes,and applicatione therof. Chap 9
Theſeaventh Treatiſe of the Operations of
Chyrurgeryc,contayning lixc Chapirers.
OfCaries,and corruptione ofthe bones, Chap 1
The fiitle of the fundamente. Chap2
Hovv vve ſhould: dravve out the Childrene out of
there mothers bodye, vvhich can nor ofthemſel-
ves be borne. Chapz
Whye vve ought to extirpate Armes,& Legges vvhare
and place vve ought retro make choyce of. Chap y
The executinge of the extirpation, and mcancs to re-
ſtraygne the fluxionc of bloode, the paticnte being
ſituarede. Chap 5
The cxtirpatione of the corruptede, and ſuperfluouſe
fingers, & the ſeparation of thoſe vyhich are foyne-
de,and combinede together. Chaps6
The eight rreatile of the operations of Chy-
rurgerye, touchinge the Cautcerycs : con-
tayninge five Chapters.
What a Cauterycis , the ſpecies, & differences therof.
Chap 1
Theinventione, & vſc of the Cautervcs,and on vv th
te partes,& difcaſts they mutt be applycde. Chap 2
The potcarialleCauteryes,and mcancs to make them.

Cha
The applicatione of the Cauterycs. C hens
Ofthe Sceron,and application: thereof. Chap 5

The ninth Treatilc of the Operatios of Chi-
rurgerye,of the bidages, or Ligatures,con

rayninge lixe Chapters.

What a Ligamente is,marcer,quallitye, forme,& quan -
tityce thereof. Chapt
Diffcrence,and Kindcs of Ligumentes. Chap2
Generalle rulcs to be contiderede, inall bandages, or
Ligarurcs, Chapz
Hovv vve ſhoulde folve,& diffolve a Ligamete,Ch.4
The manncreo involuc, a broke me Lenon.ce thi-
ghc. Chaps
The lituarion,and collocatione of thoſe partes, vvher-
on t 1wic operationes mute be cffectede, Chap 6

Apologve for the Chyrurgians, vvhercin is cvidentlye
d:monltrated,vvhich be the occalions of death, to
certayne vvoaded PerſGs, although theire vvondes
are ſinall:vvhere theChyrurgias are defended from
all calummes,vvhich ofrentumes muurciouſlye they
are ſclaundrede vvith. _

Laus.

Chyrur-
gerye is
auncicter
th:n Phy-
licke,

THE FRENCH CHI

RVRGERYE OVTOF ALL

the aunciente profeſſors of Phyſicke, and Chirurgerye

colleted,and compacted rogether, vvith ſundrye,and diverſe
figures of inſtrumentres, verye neceſlaric to the opera-
tone or yyorcke of Chyrurgerye,

T hroughe Jaques Guillemeau of Orleans, publique Chyrurgi-

ane to the kinge , and ſworene in his Chaſtelet at Paris.

The preface,
To the Chyrurgerye , contayninge foure Chapters,
Thediſcriptione,and originalle of Chyrurgeric,and yyhat the operatione of Chirurgerye is,

Cap.1.

Ofthe prognoſticatione, or foreknovvledge,and of the indgemet of the vvoundes. Cap.2.
Ofthe tokens and (lignes, hovy to knovye, vyhat partes of the bodyeare hurte or yyounded.

Cap. 3.

Of the inſtructione hovv to giveaſſured demonſtratione, of all manner of yroundes vvhatr.

oever, before the iuſticiaryes.

Cap.4.

D The diſcriptione,and originalle of Chyrurgerye,

and What the operattone of Chyrur-
gerye ts. Cap.r.

Avinge vvith my ſelfe reſol-
> ved,and purpoſed todiſcribe
{ the operation of Chyrurge-
rye, firſt of all it ſeemed expe-
diet vnto me to obſerve the-

" ſc three neceſlarye rhinges.
Namelye and eſpeciallye, vyhat Chyrurgerye
is. Sccondlye,hovy,and from vyhence, {hee
hath participatede and taken her originalle,
and beginninge. Thirdlye vyhat the opera-
tione of Chyrurgerycis. Concerninge ther-
forc her beginninge& originalle,vnto all mE
is it apparentand vve rightvyell knovve,that
the inventione, and findinge out of all artes,
and ſcieces vvharſocver, hath bin by all men
in ſuch greate eſteT, and admiratione (vvhich
Hippocrates in his boocke of aunciete Phylick
vvitncſſcth)that the inventors or authors of
the ſame , have bin extolled even vnto the
clovydes, by the vvhich is vvitneſſed,and teſti
fyed, this inventione te have bin ſo perpoli-
te, that it yvas adiudgede to be athinge impol
ſible to be diſcovered and brought into light,
by anye other, thE throughe ſome God, orat
the leaſt, by ſucha perſone vyhich hath bin
infuſed , vvith divine inſpiratione : In foe
much therforc, if this may be teſtyfyede of a-
nycartes vvith equvityc and right, it may true-
lyc and bouldlye be faycde of thisarte of Chy
rurgerye, the inventors, and aucthors of the

PE

|

I SY
—_—

NR ng

vvhich, have bin canoniſede , eſteemede and
extellodasGods,as for example ther hath bin

| Apollo, & ſculapins,and Hippocrates, vvhoe ha-

ve haddivinc honoure and reverence of all
m&T. Thervvo firſt of theſe authors, have al-
lonelycleerned, that parr of Phyſicke, vvhich
through externalle medicameres, and by in-
ſcifionscurcd the infirmityes, and diſcaſles of
mens bodyes. By the vvhich playnlyc is to
be vnderſtoodeand iudged, that Phylicke at
thoſe times vyvas not as then inverted created,
or foyynde ont, vvhe that Chyrurgeryc, vvas
ſufficictlye practiſed and knovvne in all pla-
ces:the vyhich Homer teſtifyeth and vvitne(-
ſcth vnto vs in the ſeconde booke of his Ilia-
des,vvhere heaffirmeth that the ſonns of x [*
culapins, Podalyrus, ande<Machaon, in the belic-

| ginge of Troyec have vvith ther handes han-
| deledeandcured manye and diucrs vvoiided

perſos vvithout moleſtinge or troublinge of
themſclves vvith anyc internalle diſcafies or
{ickneſſes,as vvith agues, or vvith the plague,
the vvhich notvvirhſtandinge prxadominate-

'| deand vexcede fore the vyhole hoſte or cam-

pe of theGreeckes:and confequetlyc Phylick
and the vſc therof beinge knovvne , andin
practiſe, Chirurgerye vvas verve contuſediye
hideled amongtte Phyſicke. But for asmuch
thatiris verye ditficulte &a harde thinge to
excellindivers,and ſundrycartes,and becau-
ſeitis impoſſible, the vvorcke of Phylicke,
Chyrurgerye,and Apothecarve for once man
todoe,therfore the arre of Chyrurgervc is (c-
cluded and ſeparatcde fro the other ty yo, ha-

A vinge

Fol.r.

Divers
milcon-
{trvinges
of this
vvord?
its Chvrur-
i Kcric,
146
48
þ ; |
if
- i}
k F-
| {
| bl |
Deſcrip=-
non? of
Phylicke,
Partes of
Phylicke,

OO. — ed ES IE OOO a

The Frenche Chirurgerye

vingealſoe herovvne profeſſors and pratti-
tioners, The yyhich becauſe that it may be-
rightlye vnderſtoode, itis to be noted and ob
ſerved, that in the oulde and aunnent times,
by Chyrurgerye , the thirde parte Therapen-
tice vvas not yndcerſtoode , even as vvee in
theſe times rake it, & as conſcquentlye ſhalbe
ſhevved: But they vnderſtoode by this vyor-
de Chyrurgerye nothinge cls, then that on-
lye, vvhich throughe the operatione of the
hades is finiſhede and brought to paſſe vyher
forcitis yet manifcſtlye vyritten by the aun-
Cict profeſſors, that by Chyrurgians vvas no-
thinge clſe vnderſtoode then certayne ſer-
vantes, vyhichin thoſe times vvecare callede

Chyrurg ians, not becauſe they had the per-

fee ſcience, or knovviedge of Chyrurgerye,
bur becauſe they carned there ſuſtenance and
livinge through the vvorckinge of ther han-
des. Novy to conceave aright vyhat Chy-
rurgeryec is,it is cxpediCtand neceſlarye, that
vveaſcede ſomyvhat higher,and induſtrious-
lve ſcerch & trye vyhat Phylicke is ſeinge ma-
nifeſtlye that Chyrurgeryc is therof ſeperated
and ſecluded,

Phyſick therfore is nothinge elſe (as Hippo-
crates in his booke De arte vvitneſſethe)then a
knoyvledge,or ſcience, vvhich teacheth, hovy
tocurcanye ſickneſles to fruſtracte,andanni-
hilacte there impregnable forces, becauſe of
themſelves they arc incurable.

This Phylicke agaync hath ſundrye par-
tes, of the vyhich the firit is Phyſcologsa, vyhich
handclethe and treatethe, of the itructure and
ſituatione of mans bodyc, vvherin is to be re-
garded and noted on the ſcaven vnnaturalle
thinges. The ſecode is Hygrena, that is a Nour-
cc, and foſtcrer,or przſeryer , of our health,
vyhich inſtruteth, hoyv vve { hovvide conti-
nuallye preſerve our preſente health, & keepe
the ſoyvnde bodyc liber,and free from all dil-
eaſles, & ſickneſles:and this conliſtethe in ſixe
vnnaturalle thinges. The thirde is Pathologia,
vvhich treatethe of the cauſe, and occaſione of
the ſickneſles & of the accidentes vnto the ſa-
me,the vyhich three thinges arc agaynſte na-
ture. The fourth is called, S7morica,and trea-
tcth of the demS6ſtratinge ſignes or tokEs, not
onlyc ofthatvyhich is all readye paſſed , but
alſoc of that vvhich is as yet tocome,in reſpec
te as vycl of ſickneſle,as of health. The fifth is
Therapentica,that is the curinge or ſanable par-
reof Phylicke, yvhich inſtructeth, & learneth,
hovve to repelle and cure ſickneſles, and diſe-

The par» ales, & reſtore agayne to former health : This
tes of The prxnominated Therapentica is redivided and
rapeurict agaynedealecd in three partes, the firſt vyyherof

is called, Dzetzerica, vvhich teacheth, hovy toob
ſervea ſober & good diecte : The ſecode parte,
Pharmacia, vyhich inſtructed vs, hovy tocom-

povynde our medicaments. And the third
partiscallede Chirwreia, vvhich curcth or hel-
pethe the affeted patients through manualle
or handlye operation for Chirurgia hath his
derivatione of a Greecke vvorde, andis com-
povvnded of Chcir vyhich ſignifycth a hide,
and Ergo vvhich betokeneth operatione : ne-
ther may vve by this vyorde Chirureia not on
lye vnderſtande,all operations vvhich are on-
lye efteted by the handes, but moſt of all and
eſpeciallye,all that is done, or may be done 0-
ne mans bodye toyyarde the curinge of all ex-
ternall diſcaſes,

Andas c6cerninge this vvorde operatione, What this
itis nothingeelſc, then an artificialle and nor- Yv9rdeo-

peratione

maticke applicatione , vyhich is brought to {nice
paſſe, and yvrought by the handes, one mans the,

bodye, vyhervvith the decayed health is reite-
rated, and agayne reitored. Andit vye yveare
deſirous to knovve vyhat the office, &dutye
ofa true chyrurgiane is, or vyhat his operati-
onsare, hovyandin vyhat manner he muſt
vvorke, & cffete them, and vyhat conditions
are expeCted,at a chyrurgians hides, I have di-
ſcribed them fullye, &atlarge in my generall
table,anddiſcriptione of Chirurgerye, vvher-
fore I vvil make ia this place noc more mEti-
oncof them.

Ahd—_—_

LT—_

3 Of the proenoſtication or iudgement of
4 ESTES Chap.2. s

> T is certayne that the prediQti-

) yea alſoe the generalle knovvy-
ledge of all diſlcaſes,is a thinge
Wes {C Ns moſt neceſſaryc and expedient
——_ fora good Chyrurgiane : ther-
fore Hippocratesalſoc cſtemed it verye conve-
niente, & profitable, that a Chyrurgiane muit
excelle in the fore knoyviledge of thinges,and
be apt & redye to give iudgement and his opi-
nione of all diſseaſes, becauſe by that he may
attayne,andat chiue ynto greate credite, and
fidelitye byall men, and havinge on this man-
ner ſet forth , and publiſhed his knovvledge
{ halbe irreprzhendablc,and of all men admi-
red, & ſoc much the ſafer, &, vvith more pro-
vidence finiſhe his vvorcke, & the boulder il-
luſtracte the operatione of his arte , andgive
iudgement ther of vvithourt anye ſcoffe, or
checke , and be able to give a true reporte,
vvhen that by the auQthoritye of ſome learne-
de chyrurgiane, or by the authorytye of ſo-
me Potenrate, he { halbe therin imployede, &
ordayned to reporte his opinione, ether of the
vvounded perſons life, ordeath , haultnesor
criplenes. Even asalloc the torclayed Hippo-
crates

SK onc,or iudgemet of vvoiides, 4

The vie

indges
- —_—

de 0.
tone
fic-

ot Iaqves Gvilleni.

erates ſaxeth in his Porrhet that the Chirurgi- de,cocerninge the vrorthynes of the rroun-

Hippocra ane muſt ende vourc him ſelfc to havea vviie
_— &grave geſture, becauſe that if it ſoc chaunce
as hc adiudged it ſhoulde, he might reape ho-
nourc, & goodyvil, notonlyc of the paticnt,
but alſoo of all the circumſtants,and behoul-
ders: Contrarilycif that othervvylc it happe-
ned or chaunced then he ſayed, and iudged it
ſhouldc, and that his iudgementre fayle him,
he ſhal nortonlye of all me be hated bur altoc
be eſteemed as an ignorant, & lottiſ he fello-
vve. Beyonde all this Galenus faycth,and teſt1-
ſycth vnto vs, that by our vpright,and lincere
iudgement, by the frendes & Kindrede oft the
paticte, althoughc he come to dye, vve | halbe
liberated, & freede from all badde reportes &
ſclaundexs, becauſe that throughe the death
vvhich conſcquentlye folloyved, nothinge
ſhalbealleagede agaynit vs,
What a And for the givinge of ſuch a perfea,and
Chyrur- complete iudgement , itis neceflarve for the
grane cDyrurgiance notto be ignorit, vyhich partes
_— of the bodye beinge vvounded, calylye,or dit
in giving ficultlyc may be cured, vyhich of the are pre-
Wage met font death, andin fine , the tokens hovy ro
knovve vyhat partesare vvounded or hurte,
becauſe that out of ther natures, qualliryes,&
diſpolitios, vve may certaynlye hope, or mil-
truſte of thcire health, and ſafetve. \
Such indgemente therforc ought to be ta-
ken,out of the verye beinge,and ſubſtance, or
eſſence of the vvoided parte, alſoe of the vic,
the attione, nd lituatione of the ſame, there
muſt alſoc be noted, the proportione, and fi-
gure of the ſame vvounde,and the accidentes
or other chaunces, vyhich are incident vnto
her,conlideringealſoe the complexione and
remperature of the bodye, the ſexe, theage,on
his handelinge,and tratiqve, miner of livin-
ge, the contryc,the conſtiturione of the time
then praſcnt,and one the time and ſcaton of
the yearc.
Allgreare Toconclude, all men that have reccaved a
vyoundes greate vvolide, are cther in daunger of death
= or in daunger of beinge mutilate. V Ve ceſte-
gerous,
meand accounte the yvounde to be large, for
thre occaſions: The firſte yyherof is, becauſe
vwounde \atthrough her latitude, or vvidneſſe, & cir-
15 taken ; b-
three mj- cumiacente places, ſhec hath a threefoulde
nerof rvayvingeand mcaſuringe to vvit,in length,
VWAyG, bredthe,and dcbthe,as ſome there are vvhich
be deepe & broadlye carvede:or right overth-
vvartc or croſle vyyſe yvholye percige throu-
ghe the principalle muſcles of anye parte, by
the vvhich alſoe ſomtimes the bones are he-
vved &cuttc quitethrough, & broken, vvher
forc ſome timG they muſtbe ſtitchte, bound
and ligated together: or becauſe that the vay-
nes,the artcryes, or the ſinncus themſelves,
cometo be ſquilſed and plettered, The teco-

Agreat

|

|
|

,

,

:
:

|
|
i
'
|

Cs fe YE Ou I Ee

|

| dedparte , foralthoughthe vvounde be but

little, in her meatinge yet notyvithitandinge
vveeitceme her ro be greate, becaute that the
{trengthe and actione,of the vvounded parte
or member,is vcrye neceflarye for the vrhole
bodycfand tor the vvhole lvte of man, vvhich
partc havinge leftc his natura!l vicand actio-
ne,it coniequentlye folloyyeth that the per-
lonne, mutt immcdiatly diſceate & dve,as vve
may by experience fee that daylye chaunceth
inthe vvoundes of the Braynes, of the Harte,
and in the vvoundes of the Liver.

Thirdelye, becauſe thar ſome vvoundes arc
of a vvorter nature, & difpolitione,as beinge
venoumede , rebellious , and entermingled
vvith ſome badde and dolorons accidentes,
vvhich ſometimes farre ſurpaſle & cxcell the
vvounde it ſelfe,as itis evidentlve & planlve
to be ſeence inthe vvoundes of the loynces,

vyhichimmecdiatlye, mayfall into a verye cx-

ceedinge baddecſtate, becauſe that thote par-
tesand places arc circumligatede or clothed
vvith veryc ſmalle ſtore of flethe, beinge 011-
lve decked & co vercde vvith the Tendones,

| vvith ſinnues, vvith Ligaments, & that verve

tender,and ſenſible pellicle Perrofizurs , by the

; vvhich thete partes or members arc in more

daunger of fallinge intoa convullione of tin-
nues,into Phreniye, payne, and inquictude,
as much asa farre more greater vvounde in a-

; nyeother parte of the bodyec.

Thoſe yvoundes are accounted incurable
vvhich doc happen in the Braynes, or in the

; ventricle of the ſame,in the Harte, cntrice of
the ſtomackc,in the Vexa Catia, the entrice of

the Liver, the backe bone, quite throughe the

| Lunges,in the ſmall gutres, or entralles, the

{tomacke,the Kidnies, or in anye greate vay-
.ncs,orarterves about the throate. Bur thete
vvoundes vvhich vvildithcultlye be curede arc
they by the vvhich the Longes, the Liver,the
m<ebrane of the Brayns the Milte, the Matrix,
or vvombe , the blather, anve of the greate
gutres, or the Middelricte, arc vvoaded vvith
veryeſmall vvounde. Altoc are thote vvon-
des daungerous, vvheras the greatc vaynes, &
Arteryes, vnder the Fmuntoriz or arme pittes,
&inthc Hockes or bedinge of the knees arc
vvounded:and indeedall yroundes arc tutpi-
nous , inall places vvheraboutcanve greate
Vaynes,or Arterycsare fituarcd & placed, be.
caulc that throughe theire eftulione ot bloe-
de, the vvounded perſone is berettc at all his
abilirye & forces: the vvoundes of the Secrete
partes or privitves , and the vvoundes of the
Teſticlesarcalloc by this reaſone verve peril -
lous & daungerous, aSaltoc arc thetic vvhich
happen and chaunce tolight bervyccne the

tiogers,
p Ai;

There

Woundet
yy td t
arc eltoc-
med incu
rablc,

Woundcos
that be
dithcuire
TO CUTIE,

Wonnd C
that arc
daungc-

rou "*

q
- LY
-» 2B 7
Suows- =_ i - F

The Frenche Chirurgerye

There is alſoe greatc heede to be taken one
| ho the manner & forme of the vyoiide: for thoſe
me of th: Vyvolides vyhich chaunce,or come by cruſhin
yyoundes ge or pleneringe,arc farre yyorſe, then thoſe,

vyhichare onlychevvede , ſothatitis much
better to be vyvorided vvithaſhar pe edgede or
cuttinge ſyyorde, the vvith anye other blunte
yyeapone vyhich is not{harpe. _

The rounde or circle vvoundes are yyorite
& difficulteſt ro be curcde, but the certayneſte
& calyeſtero be cured, are thoſe vyhich paſle
by the 1ength of the fibres right like a linye or
line.

The vyoundes of the Hippe, vyhichare re-
What the ceaved in the membranous muſcle, are veryc
vvound's exceedinge daungerous, & eſpeciallyc ifit be
wn P athruſteor ſtabbe,orclſe yvhe theapertione

* of thelameis verye ſmalle, & hath noc iſſue,
bur iris ſoe much the vyoric if it ſoc chaunce
ther be anye fraQuure or ſeparatione of bones,
it be vvhere ir vvil in anye place of the hippe:
& lo farre forthe as if the vyounde be in anye
internalle partc of the Hippe,about the greate
vayncs,then the yyounde is paſſinge & cxcce-
dingedaungerous , for there enſuethe out of
hide ſome greare inflammatione there vato,
& conlequetlye thereafter aGangrena,or mor-
tificatione : he that happeneth ro receavea
vvoundein the forcmoſte parte of his arme,is
alſoc ſubice vnto the ſame daunger of in-
flammarione, and mortificatione , and cau-
ſeth great payne & trouble, becaulc that tho-
ſe yvoundes moſt commonlye arc przicnte

dcathe.
Whatvve Novyas much as bclongeth vnto the jud-
ought © Zemente & opinione, vvhich is to be con{ide-
Of op red & noted out of the accidentes of all vyoii-
cidens of des, Hippocrates teaceth vs:in ſomuch as in the
vyoudes. goreate & badde vvoundes,asare the vvoundes
of the Sinues, of the Tedones,of the loynttes,
& of the bones, little or noe ſvycllinge or in-
flammatione atall apperareth, & illuſtratethe
it ſclfe it isa verye evell and badde ſigne, for
vyhye , it ſignifycthe vnto vs that thoſe hu-
mors vyhich conſideringe the payne ſhoulde
have aſſembled, & packed thElelves that vvaye
& have circumcinglede themſelves rovynde
aboute the vyoiided parte, have retrattcd thE-
ſclves into ſome principalle & eſpeciall parte
of thc bodyc.
Accidetes Thoſe vyoundes ia the vyhich there appea
ofad*® rethcanye ſvyellinge, or tumefaCtione verye
parted : © -
iwveilin- ſelden or never fall intoany Phrenſye,or into
KC. covullione of Sinnues, becauſe that the veno-
mous humors, vvhich might, aſcende & dra-

yvetovyarde the Braynes or into the (inuil he |

partes of the boddye, have congregate and ga-
therede thelclves together aboute the vvoun-
de:butifthatone the ſuddaynethe ſvvellinge

vvithoutanyeevidente reaſon, as in cxample,

in the applyinge of anye remedyes, throughe
purgations,or throughe phlebotomiſinge or
bloodelettinge , came todeparte & vvith dra -
vve it ſelfe into ſome other place and that in

ſuch,asare vvounded behinde in there backe
| bone, that perſone is troubled vvith convulli-

one of ſynnues, through the vvith dravvinge
of the matter, into the ſinnuiſhe partes of the
backebone:and the vvounde beinge in the fo-

' remolſt partes of the bodye, and the matter of

the ſyvellinge,aſcedinge vpvvardes, throughe
the greate vaynes, tovvarde the Braynecs , the

| patient ſtrayghtyvay fallethe into a madneſle

& Phreneſye : or if toe be that the matter dra-
vve tovyarde the breſte, then ther enſue grea-
te & intollerable ſtitches, or Apoſtemations,
becauſe that thoſe badde humors can not by
anye meancs poſſible be conſumed or vyaſte-
de, but deſcende & {incke doyyne into the co-
cavityec of the breſte. Andif thar the (vvellin-
ge novy departinge be of a veryc highe & red-
de colloured, & that thervyas ſtore of bloode
therin, vvhich is deſcended & ſuncke dovyyne
toyvarde the guttes, then it neceſſarylye & c6-
ſequentlye fellovveth that the paticnte falleth
into the Blodye flyxe,or Dyſcnterye.

As farre forthe therfore as there procedethe The con.
anye conyulſione of ſynnuecs out of a vyoun- vulſione
de, & eſpeciallyc from anye greate inflamma- Arg.
tione, that isa ligne of deathe, for therbye vve vo res
may playnlye,note, & marke that the ſynnuil- gerous.
he partes of the bodye, muſt ncedes be hurte,
and that the Braynes arc in ſome, or other paſ-
lione,

If that intoanye vvoiides, vvhich have fier-
ms bledde anye Spaſmus happen, that is a bad

igne,

All thruſtes of the ſinnues, and Tendones, Thiuftes
are veryedaungerous,and eſpeciallye, vyhen inthe (ya
as the ſkinneand the flct he chaunce to ſhutr 29& rob
togecther,for therin engenderethe a 1 harpe & on ty
corrodinge matter, vyhich reſuſcitatethe and
cauſcthe greate & intollerable payne, becauſe
{he can not by agye meannes get iſſue, out of
the vyhich procedethe & folloyvethe convul-
lione of ſynnues, inflammatione, anda Gan- |
gizne,or mortificatione. Inſoo much as a- The Or-
nyc eſpeciall and principalle , or Organicke gavicke
parte, oranyc initrumentalle parte, totallye & heck
vvholyeis heyved of, and ſequeſtred and ſepa- are vvho-
ratede from the bodye,it can not by anye me- 1y< cut
anes be reſtoredand cured , becauſe that the {qo be
blode,and the vitalle Spiritcs are vvholye cx- reſtored
halated, throughe the greate vaynes, vvhich 984y-
areclcanca ſunder,and that by the vyhich the
cure muſt be done, and the forcgoinge health
agayne reſitorcde.

The temperature of the boddye, the time
of the yeare , the age the haudlinge and trafi-
que , andthe manger of the paticats mae +4

t

'L *7
the knovvledge of the cotrycarea greate hel- , gians, havealyvaycs eſteemed the doubtſul-
& ayde for the prognoſticatione of vyoun- le & ſuſpe&t, becauſe of other badde acciden-
des:a childe,or a yongemi, vyhich as yet is in- || tes vntil the Fiftcenth day,and the moderne
his grovvth vvil better and yvith more caſe be |] and,ionge profeſiors, yntill the hundredihe
healcd or curede, then an aged perionne : and ||} day.
a ſtronge mi,a greate deale ſooner then a fee- The luriſts, or lavyyers, have conſtituted
ble,and debile perſon. Alecaneand iclender || and ordayned fiſtcene dayes , for the indgc-
perſone , vvilbecuredevvith more facilitye, || ment ofthe vvoundes of the Heade , to kno-
then a thicke, and groſle lived man. Anda || vveofacertayntye , vvhether the paticnt by
ſounde bodye farre ſooner , then a ſicke and || occaſione of that vvoiide came to dyc or not
corruptc bodye. That man vvhich labou- || or by reaſone of his ovvne faulte , or by any
xcth,caſier, thena ſtilliirtingeand idle perto- || other occalione. Becauſe therfore,tlfat the
ne. Aſoberman,farrc ſooner, thena banc- || yonger Chyrurgiane , ſhall not be over ra!-
ketter,and one that haunte thkenoores. The || he,in givinge of his iudgemenr, leaſtc he co-
moſt conveniente time of the yeare,tocure & || meteglydeand falle intoanye badde repor-
heale a vvoiide,is inthe force ſummere orVer- || tes,orin anye reprzhenſione. As muchas
nall time of the yeare, oratthe leaitinſucha |] appartayneth vnto me , Ihave knovvne (o0-
time, inthe vyhichitis nctherto hotte nor || me., yyhich have continucd ina verve good
ro coulde, becauſe that extreame hcate, or ex- || citate vnto the thirteenth, fourteenth, or vn-
treame coulde,are the enymyes of all vvoun- || tillthe fifteenth day, and then have fallen in-
des,and eſpeciallye the changinge of heate,& || toagues, and manye other accidentes, by rhe
of coulde, vvhertorcallſoe the fore vvinteror || vyhich they in the end chaiiced todye. V Vec
Autdinus, is verye ynprofitable for the ſame. || muſt alſoc note, thatall naughtye and badde,
Other c6 In ſome regions and countryes, the vvoundes || accidents moſt of all publiſhe themſelves, ar
be his 31< Ether caſycr, or difficulter to becurede:tor || the full Moone, more thenat other times, be-
in prog- at Rome, the vvoundes of the headearedith- || cauſc asthen all maner of moyſture grovveth
oltica- culter to be curede, then the vvoundes of the || and increafeth more, then in the decrealinge
wie Legges, the vvhich notyvithſtandingeat A- || ofthe Moone, &alfoc more in the tommer,
vignon vve finde cleanecontarye, then in the VVinter,
As farreas the vvounded perſon keepe and The ſfignes and tokens of the deadlye frac- T1. ©...
continue his perfete SenceE, and memorye || tures of the ſculle, are agues in the V Vinter, nes of the Fg
nether gettethe anye agues, vve may then al- || before the fourtecnthe daye, and in the tom- = = 2
ſureourſelyes , thatthe vyounde vvil quick- || mer before the ſcaventhe day:Item,a naugh- gh.
lye and caſylye be curede, VVe ought || tyc and baddecolloure of the vvounde: little iculle,
not thetfore todiſcourage the patiente, al- || matter of the ſame : mortificatiouc of that
thoughe,he have an ague by the greate vvoii- || vyhich is inflamed: ſlimye or viſcoulc conti-
de,as longeas the inflammatione is yet befo- || ſtence of that vyhich is corrupted: drieth ari-
re hande,and as longe as there engendercthe || ditye in the ſkinne of the heade , aSitisina
Simerta anye matter. Butan agueis veryC daunge- pCece of pouldrede fleſhe,vvith a brou vvne,
thecon. £OuS, VYhe ſheifſucthe froma ſmall vvounde || leadiſhe, and blacke colloure, vvhich ſigni-
eracye, andeſpeciallye, vyhen { he hath longe conti- || fycth the beginninge of the corruptinge and
nuance,after the inflammatione,and ſupura- || putrifyinge of the (culle, vyhich the vvaxeth
tione,or vyhen | he incitateth the patient vn- || ravve , as vve may ſee, vyhen it is rotten, and
tro Phreneſye. VVhen the patient parbra- || grovyne blacke : yyheras before it vvas cven
kethe againſt his vvil, greene galle, or imme- || and ſmoothe. Finallye vve ſee therin, a pa-
diatlye vvhen he hath reccaved the blovve,or || lc, and yellovviſhe colloure , to vvitt vvhen
atthe time vyhile the inflammatione isas yet || the forcſayede bone is vvholye corrupted &
duringe,that isalſoc a badde {igne,cſpeciallye || rotten, throughe the purulent matter, vvhich
in theſe vyhichare vvounded in aſynnue, or || yvas ſuncke tothe grovvnde of the vvouncde,
in annye ſinnuiſ he place: Butthe parbrakin- || and vvas there gathered together.
ge,or vomitinge, vyhich commeth by the fre The paticnt beginneth to rage , he hath
vvil of the paticnte.is nothinge ſuſpicious,cl- || little pimples onc his ronge , he getterh alfoc
peciallye in thoſe, vyyhichare vſcd to vomitin || convullione of ſynnucs , one the conzrarve
ge,if that a man przſentlye after meales,oraf- || ſyde of the vvounde : ſome fal inte an /po-
rer that the inflammatione is come , or the || plexia yyheron follevvethe deathe. The
Cn vyounde being in the heade,doc not come to || Practitioners of our times, have obſerved in
the vomite. The Chyrurgianc mult vic greate || all yvoundes, vvhether allreadye therin vvc-
vondsof foreſight, in givinge iudgemer of the vvoun- || areaParaliſis,or cls therafter happencd ther.
= hea= des of the Heade,,, forthe auncicnte Chyrur- | Yato:and onethe contrarye ſyde a Convulli-

— O_o —

of Iaqves Gvillemeau.

OUuc

one,or ſomtimes alſo in the vrounded parta
Convullione,and inthe other ſyde a Paraliſis,
ſometimes alſo in both the parres,cther aC6-
vulſione, or Paraliſis, and ſomtimes one cach
ſyde ether a Convullione, or a Paraliſis, vvit-
hout the contrarye ſyde bcinge in anye forte

alinge,in the fratures of the Heade,after that
itistrepancedc, or cls after that the broke par-
cclls of bones,are taken out of the Heade, arc
theſe namelye vyhen that the Membrane of
the Braynes hath her naturallecolloure, and
her naturalle motione & ſtirringe: vvhen the
engendringeand grovvinge Fleſhe is redde.
VVhen that the paticnt may caſylye turne a-
boure his Necke,and alſoc caſylye vvagge his
lovverchavve bone. Butin ſomuch as the

Badde fi- Membrana hath noe ſtirringe,and is blacke,le-

gas, adithcolourcde, & lividoutc or vvith anye o-
ther badde coloure taynted &defylede: Then
the patient ragethe, yomiteth exceedinglye,
falleth intoa Paralyſis,or inSpaſmo, if that the
Fleſhe of the vvounde be leadiſhe colourede
the necke & the chayvebone bothe of thEſtid
ſtiffe all theſe are verye bad ſignes. And vyhe
the vvoode, is ata good eſtate, thE beginneth
the fleſhe of the Membrane, or of the ſculle
togrovve,and to vvax dubble,and filleth all
the voyde places vvith fleſ he,that have binne
open bet vvecne the bones, yea & ſomtimes
covercth even as it vveare yvith pomgranate
Kernells the ſcull ir ſelfe.

——_— —

ne The tokens hoe to knoWve Whſch partes of the
bodye are Wounded Cap,z.

- - a .« _— ”
ND PI ITE UNE > lex" B49 an
A. ——S nmr.

Wk.
COIs

LS Tc vvoundes moſt common-
5x2 lvcarc knovven by ther firſt
© aſpece, alſoc ſometimes the
S place of the yyoiide certifyeth
> vnto vs, vyhat partesare inter
m**£- nallyc vvounded: Bur ſcinge

thatiroften times chauncethe , that theſe
vvoundes, yvhich to ourecſtimatione be not
profounde ordeepe, penetrate vnto the inter

nall partes, vve vvil hcere therfore recite the
lignes, by the vvhich vve may knovve, vyhat
internall partes, vvithin he bodyeare yvoli-

ded, becauſe ther by vye may knovve, vyhe-

ther the paticte may be cured of them or nor.

"III If ſoc be that the Braynes orelſe ther Mem-
vwinche brane is vvolded, the ther iſſueth bloode out
braynes of ther Noſes , vvith ſome alſoc out at there
achuit. Fares & commonlye ther follovyveth a vomi-
tinge of choler : ſomelye almoſte out of the
memorye & beſide theſelves that althoughe

you call & crye vnto them, they give nocan-

ſyyerc: others ſeT in ther faces as if they yvea-
reafrighted & fearcd: ſome turne and vvinde

there eycs, this y yay and that vyaye, as if they

" — E.. | ==

thervvith infe&ted. The goode ſignes of he

_-

The Frenche Chirurgerye

vyeare touched & ſtricken by Gods hide, the
thirde or the fifth daye moſt commdglye they
fall into madnes & Phreneſie : other gette the
Spaſmii, before theydye:ſome there are vvhich
plucke the medicameres from there Heades,
ſoc thatthe vvounde commeth to lye bare, &
vvaxcth coulde.

VVheas the backe bone is hurte, or vvoli- Sygnes
ded,thE beginnethe the patict to be feeble & m_ _
lame in his ſynues, orelſc he getteth covulli- ne is huc-
one of ſynues, vvhich is called Spaſmms:leeſerh te.
the ſence of feelinge, ſomtimes the patiEt can
nether retayne his vrine, Sperma,or Stole, but
of it ſelfe departcth from him.

If the Harte be vvoiided, ther iſſucth ont of Sign
the vyvounde, greate ſtore of blacke, dence, or _—
thicke bloode, & eſpeciallye vvhen the right yyoaded,
ſide of the Harte is hurte : Bur vyhen the left
ſyde of the Harte is hurte, then iſſuethe out of
the vyvounde fine & ſubtile redde bloode the

pulſe of the patiCr is verye debile & feeble, &
variable, & is verye pale coloured in his face:

The coulde ſvveatc in all his bodye burſteth
out,and hath a verye vnſaverye ſmelle, evEas
vve may note in other ſickneſles of longe c6-
tinuance. His handes and feetey beginne to be
coulde , outof the vyhich preſcurdcath cn-
ſueth.

VVhethe Lungesarc hurte,thE breatheth -.,

the patiCt vvith greate difficyltye, & divers ti- yvounds
mes reiterateth, & dravveth ancvve his breath of the
as ifhe there by ſought & indevoured to doe 4985:
him ſelfe ſom ſolace & coforte:he voydeth of
ten times through his mouth frothye bloode,
& throughe the yvoiide fayre, redde, & vitalle
bloode, vvith peepinge & hiſlinge breathe:he
endevourcth for the moſt parte tolye one his
vvolided ſyde:others often times erete them
in ther bed vvith out anyec occaſlione : Some
lyinge one the vvounded ſyde,can ſpecke, but
turninge thEſelves one ther ſovvynde ſyde arc
quite deprived of there ſpecche : ſomerimis
theyare bloeſinge in ther faces, & ſometime
cleane pale , andat the laſt iNueth outof the
mouth of the yyounde greate quantitye of fil-
thye matter,

The ſignes of a vrounded Liver are theſe; TheLiver
nalye that out of there right ſyde they avoyde beinge
a greate quititye of bloode: Both ſydes of the hurt.
bodye, are as it vvcare plucked tovyarde the
backe bone: The patiCtis verye palc in his face
as if he vvcare halfedeade : His cyes are fal-
leninvvardes , and hath intollcrable payne,
beinge ignorant throughe his impatientie
vyhat he ſhal doe : heitt beſt at caſe yvhen
he lye thone his bellye : he hath a verye
prickinge & ſtinginge payne, vyhich dravveth
toyvarde his breite,andalſo tocyvarde the ſy-
des of the ſame. Heavinge and contrattinge
his f houlders togeather muſt he breathe /and

lomtimcs

he

At

nds

$.

of Iaqves Givillemeau.

ſomtimes throughe, parbrakinge he avoyde.
the choller. Hatha verye violent, & fervent
pulſe, he is caſylye inc@ſed to ire, & forroyve:
ſomtimes he hath an aſhe coloured face , his
vrincalſoe ſorymes verye bloodye: his ſtoels

Hickcoughe.

V Vhe the kidnyesare hurte, then deſcedeth
& as it vveare by degrees comethe the payne
into the flanckes, and (oc foryyarde vnto the

the

Q

releaſed of his vrine,, he piſſeth bloode, or at
the leaſt his yvater is bloodye. Somtimecs his
vrinc is quite retaynede, by the vyhich occalt-
one, the patiCcte beinge extreamlye ſyvollcnc

«7 dicth,
The mil- Jfthe Milte be huf&orvvounded, then the
rh bloode ifſueth out of the left ſyde of the paciE

" te, &is blak ofcoloure. The ſame ſyde, &alſoe

the ſtomacke beginne tobe indurated, & har-

de:the patiCt vyageth thirſtye & the payne re-

tracterh ir ſelfe toyvardes the breſte, as in the
vyoundes of the Liver.

The vv6- Novv the V Vombe beinge hurte the vvo-

be beinge q15 hathe greite payne in her flanckes, in her

* Haunches, & in her hippes:ſhe avoyd<th bloo

de partlye throughe the vvounde, and partlye

throughe her privityes, after the vvhich ſom-

times follovvctha parbrakinge of Cholera O-

thers ci norſpeake:ſomelye out of memorye

others vyhich doe notrage , ſay that they are
troubled vvith greate payne in there linnues,

& in ther Eyes: & vvhen they dravve tovvarde

deathe, theyarc troubled vvith che ſame acci-

detes, vvhich vvc have recited of the Harte.
The Mid VVhen the middle recfe or Diaphragma is
dlereete, yyonded, the arc the ſydes of the pati@t dravy-
ne,& ſhruncke vpvvardes : they have excec-
dinge greate & violent payne, internallyein
the backe bone: they have verye retardate bre
athe,and there iflueth out of the vyvounde fro-
thye bloode,
Theen- Thecntrance of the ſtomacke beinge hurte
trance of ; the patiente beginnethe to have the hickvp,&
ws n 0% avoydethcholler:yvhen as he eateth or drinc-
* keth,hecaſterhit ſtrayghte vvay fro him agay-
ne:he hatha ſmalle,feeble , & obſcure pulle:
he gettetha little coulde ſyyeate, vvith a coo-
linge of all externalle partes.

The ſtomacke, & that gutte Iezunum, have
hoth of them one manner of token , becauſe
that there meate & drincke iſſueth our of the
mouth of the vvounde ſomtimes beinge hal-
fedigeſted,andaltered in Chylum : they feelea
payne,as if a man vvoulde rente & teare there

The fto-
make &
thegurts,

teſticles : the paticnt can verye dithcultlye be

Harte out of there bodyes: they gett hardneſle |
in ther ſydes, {6timesalſoe parbraketh the pa- |
tient Cholera , vpvvards throughe the mouth, |
& his ſpittle is bloodye : betveen theſe tvyo is
noc other diftcrence, then that the gutt Ieiumis

Fol.4.
hath his place & ſituatione ſomyyhar lovver
then the ſtomacke.

The bladder beige hurte, vve feele payne,in Hurres of
the flaackes: that parte of his bellyc a little a- the blad-

| bone his privityes extendethe & ſiretchere it 3
like matter, anddye moſt comonlye, vvith the

ſelfe:in ſteade of vrine the patiet piſſeth bloo-
de,orclſc the vrinc iſlueth forthe of the vvor-
de: the entrance of the ſtomackeis perturbed
& out of ordre,, vyherfore the yyvounded yo-
mite Cholera, or at the leaſt arc afflicted vyith
the hick cough : they beginne to vyax coulde

in handes & tecete,and conſequentlye enſuerth

dcath. ,

3 In{iructione , how to give acertaynereporte of
all Woundes What ſoever before the ma
£1 ſtrates.Cap.4. |

Ll ſuch vyhich before anye C2dhde-
. _ ratlone to

magiſtrates,of anye vvolided |. had
or licke perſonne, vvil & are before _
diſpoſed togive reporte & in- *®* |
1g ſrructione , ſhallby noc mea Hy
* ncsintrude them ſeltves, befo
re that of the magiltracte they ſhalbe requeſ.
tedtherto, & ſcat for, ſcinge that moſt com-
monlye proferede yvitneſle is reprxhedable:

& he that taketh ſucha thinge in hande oughr

firſt ofall to viſite and lee the patient, becauſe

he might ripelyc and dilligetlye conſider of al
thinges,namelye & eſpeciallyc one the great-

nes of the difſeaſc, one the ſituatione, & place

of the fame, not onlye, as the may give good
inſtruonc, but alſoc,one all occalios, & on

the prxdictione & fore ſayinge of the vvoun-
des, vvithout havinge vnadviſedlye therin haC
ted himſelfe : forit is aharde and difficultc
matter,to givea pertecte & coplet iudgement
of the end of all vvoiides, or other ſicke perſo-

nes , becauſe of the accidentes vvhich might
chaunce thervnto, for thoſe yvoiides , vvhich

vve doe not cſtceme of {Grimes are occalione

of death, & cotrarylye thoſe of the vvhich vve
expected nothinge butdeath,are yet notvvith
ſtandinge cured. V Ve knovve, that ſome ther

are cured & healed, notvvithitandinge althou

ghe they vveare vvoundcd in the Membrane

or pellicle of the Braynes yea & ſome vyhich
vveare heyvedein the fubſtice of there Bray-

nes : as I alſoe remember ſome to have bin

cured, vyhich vvearc hurtc in the luges, in the
Middlerecte,in the Liver,in the {malle gurtes

or Etralles, the Bladder, the Kidnyes, or in the
Matrix or vvombe. Althoughe yve accordin

ge tothe iudgemet & reaſon of the auncicnte
profeſſors,c\teeme ſuch yvoundes tobe dead-

lye & incurable. Contrarylye vve fe ſome mE
mendye of ſmalle and yndiepe yroundes:vve

muſt therfore in ſuch thinges make adiſtinc-

tion amonge the vvoundcd for ſome ther

are yyhich are of too goode a temperature,
and

*
Fs

The Frenche Chirurgerye

and ſtate of bodye, that ofa greate and large
vvounde vyhichinanve other mans bodye
vvear przſcntdea the, they are curcd:contra-
lyc there are others vvhich beinge vyounded
inanyeexternalle partes, vvhich are nothin-
ge nocete or daſigerous tothe lyfe of the pa-
tient, vvithoutanye penctratione , of the
* wvhich , notvvithſtandinge they chaunce to
dye,cther of the badde c6ſtcllatione, or con-
ſtitutione of the time, or by the refluxione of
_ anye badd humors vnto the vyounded parte.
ys Althoughe therfore, that ſome vyoundes |
fnall Arccurablc,andalſoe of a good conſtiwutis &
vyound. diſpolitione, vvithout anye badde orc6traryc
ſigpe therin to be marked, bur for all that vve
may notgivcanycablolute iudgement or re-
portc of the ſame , but muſte onlye ſay that
the vvounde is curable, ſoc farre forth as the-
re be nothinge prztermittede, vvhich conſil-
tcth and bclongcth as vvell in the patient as
vnto the Chyrurgiane vyhich hathe him in-
handes, it belongeth alſoe vnto the circiſtan-
res,and vnto other extcrnall thinges.
VVe muſt thetgre ſuſpede our iudgemer,
The iud- _ - ;
gement And keepcitin ſecfete fora ſcaſon, vvithout
mult be givingeanye ablolute reporte the firſt daye,

provident zecruſe that the good or badde ſignes ci not

Iy*SYD» foe fone revealc and diſcloſe themſelves : vve
muſt alſoe c6lider that all vvoundes muſt ha-
ve ther originalle, ther increaſinge, and there
eſtate, and duringe this time, ſecke byall me-
ancs poſlible to repreſle the vntemperate-
nes, vyhich isfallen into the yvounded parte,
throughe the bloyve, throughe the external
ayre, vvhich ſtriveth vvith nature , agaynſt
the vyhich nature ſtrengthenethe and forty-
fyeth her (clfe, tocxpell and driveavvay the
forelaycd vntemperateneſle , duringe the
vvhich time, vve can notcertaynlye knovye,
vvhich of the ſhall obtayne the victorye, the
onlycſome time therafter, vvhenas the fo-
relayed vntemperateneſſe maketh her ſelfe
knovvne, throughe anye ſignes vyhich {hee
reyvcalcth in the concurringhe humors be-
cauſe nature, throughe certayne ſygnes,doth
demonſtrate that ſhee hath obtayned vito-
ryc,andis become the miſtrefle of that vntE-

peratenefle, Theſe fignes and tokEs are eſpe-
ciallyc knovync, by the matter afore hid:and
becauſe thatthe purulence or matter, is not
engcndred the firſt daye,it neceflarilye follo-
vvcth thaton the firſt daye, vve give notanye
abſolute reporte of a vvounde, but muſt firſt
conſider, yyhether itis bent, becauſe that na-
rure one the dayes ofCriſzsdemonſtrateth her
ſelfe, by the vyhich vve may iudge of the end
ofthe ſicknes. The firſt, andcertaneſtdaye
of the Criſes is, the ſeventhe,, for the fourth, is
notindeede the day of the Cris, bur vvel the
demonſtratinge day of the ſcaycath , vyhich

1

.&

is the vpright and trevve day of the Criſes. Af.
ter the {ſeventh , folloyvethe the cleventh, of
the vvhich the ſcaventh is the demonſtratin-
gedaye, then the fourteenth daye follovveth,
after that the tyventithe , and then the laſt is
the fortithe : For if that before the fortith
daye, yve perccave noe badd lignes, itis then
cvidetand playne cnoughc, that the vyoun-
de vvilbe caſylyccured.

Itis beſt therfore that vve doe not reporte Whe tha
orgiveanyc iudgement before the ſeaventh _ -

day be paſled by, in vyhich rime, the accidetes ,. 1

beginne to reveale Megane on aSthE

vve muſt have a ſpecidBe*tegawde and care,
vvhether ther be moreiand, en badde acci-

detes aforc hides, or theContrarye, vve mult
conſider one theſe ſighes , three mannerof
vvaycs : For they revcalethemſelves ether in

the qualitye of the bodye , of the vvounded
parte,or in the livinge, and vitalle in theani-
macle,or naturalleaQions : Or in theexcre-

metes, yvhich are mmon, or in the vyvhole

bodye, alſoc in the particularc excrementes,
vvhich the vyvoundes reice and tepelle from

them. The ſignes vyhich revcale themſelves

inthe qualiryc of the bodye, arc conſidered,

vvhen vve regarde on the figure, andone her
coloure:the animaecle, and ſpirituale ations,
conliſte in the ſtirringe, in feelinge,andin re-

aſon. The vitall,or the livingeaCtions,con-

ſiſt in the pulſe:and the naturalle ations, c6-
liſte, in the appetite, in thedigeſtinge, and in

the expellinge and drivinge forth of the ex-
crementes. The common excrements of

the vvhole bodye are the filthynes of theNo-

ſe, the teares out of the Eyes, ſpittle out of the
mouth, or the ſubſticcand filthye matter of

the guttes, the vrine, or that vyhich yye op-

vvards parbrake : The particulare excremen-

tes,arc filthe, matter, id the bloode:in vyhich
excrementes, vye muſt marke and note the
quantitye, the conſiſtence,colour,ſmelle,and |
ſomerimesalloc one the taſte : ſcinge that if
ther be more goode, that is ſoc much the bet-
ter:vye muſt alſoc note, that throughe the ac-
ti6s vve may beſt iudge of the forces. Havin-
ge thus therfore togethere conſiderede and
notedall theſe thinges, the Chyrurgiane ſhal

F- beable to geve his ſentence and reporte cer-

taynlye,cther of byfe,or of deathe, of lamanes
orcriplenes.
THE

e that

4

of Iaqves Grill ;

THE FIRSTE TRE-

ATISE OF THE OPERATE

on of Chyrurgerye,wherin is diſcourſede and handelede of

the meanes and vyay hovv te extratte and drayyeforth anyealicnate thinge
out of the bodye contayninge five Chapters;

D ——C

—_

—_——

Of the profite, andneceſlitye that commeth ro dravve all alienate thinges out of the bodye.

Chap.1.

Hovy the Chyrurgiane , convenientlye and fitlye extraftinge, and dravvinge forthe the bul.
let, ought to conſider & marcke theire diverlityes,and invvhar partes or places they lod.

gcorare collocated.

Chap.2,

VVe ought to extrate and dravve forthe the pellet, oranye other thinges, if it by anye mea-
nes, be poſlible,at the firit dreſſinge. And prameditate,one the meanes, hovy vvel houl-

de beſt and convenienteſt effet the ſame.

Chap.3.

After vvhat manner yveſ haldravve torthe thoſe bulletes , vvhich ſticke faſte in the bones,

Chap.4,

That the Chyrurgiane ought not to be too curious, in extratinge or dravvingc forthe of the

bullet.

o3 Of theneceſſuye,and vtiilitye,of the extractione
or drawinge forth of all ſtrange
thinges.Cap.1.

La Mongſtcall operatios of Chi-
rurgerye,theaunciente Chy-
rurgians of oulde times, have
eſpeciallyecolidered, one the
hadlinge, vvhervvith all vve

* moſt convenientlye,and apt-
lye,drevve forth out of mis bodye all miner
of (traunge &alicnate thinges, as arc Bullets,
Arroyves,andall other ſortcs of vyvcapons,or
all peeces of brokene bones, and many other
ſuch like thingsas beinge moſte neceſlarye,
for this forclayed operation.

It is a Chyrargiane full of crafte,
That out of the bodye can plucke ſhafre.

v ” P amt $7 4+

ns 1% ( wy ©. \ & «
—— v4 id mowing Aaty can trow « Lav 4
Anexcel- Xhd Genasin the Vvarrelike affayres,tho-

ſe Capitaynesare eſteemed to be moite cou-
ragious and valiant, vvhich one the ſuddayne
can beſte diſcerne and knoyye ther cnimyes.
andallure and as it vvcare dravve them, forth
to their ov vne furtherance,to battayle : oras
in chaſinge,thole hunters are eſteemed fitteſt
and experteſt , vyhich ſuddaynelye can diſco-
ver, or diſcloſe, the harboure of the perſecuted
deere,and knovveth hovy he may vvith al fo-
reſight chaſe the fame: Even fo have the Phy-
firions alſoc, had thoſe Chyrurgians in greate
eſtimati6, vvhich firſt of all, have founde our
that parte of mans bodye , in the vvhich the

bulleres, or Arrovyves, oranye other alicnate *

|

© O—

—

Chap.4,

thinges have binne hidden and lodged , and
vvhich have hadde knovviedge & icience fat-
lve & convenientlye todravve them therour:
conſideringe that throughe there continuan-
ccein the ſame, aboveal thinges they are clea-
ne contrarye vnto vs & ynluttcrable, as that
vyhich is deade, & livinge: ſoit isa hinderance
vnto vs,and cfpecialye tothat parte, yvherin
the foreſayede vvcapon, ſtickethe, and that as

| vvel of it ſelfe becaule that it yvholye, hinde-

-—

rethe the curinge of the vvounde , orelſe be-
cauſc it bringethe to gether manve & heavye
accidentes, the vyhich is cauſe of lamneſle or
cripleneſſcin the vvounded parte: or cls cau-
ſeth the health vyhich vve ſuppoſe to have
gotten not to be pertete,and ture, but is ſub-
iecte vnto a farre vvorte returne & renucin-
gc of the lame. Yet forall that | knovve (o-

Fol.s.

Some me

me vyhicharecured,in the vvhich the bullets arc cure-

as yet tarrye in ſome parres of ther bodye vvit
hout beinge neccflaryc to have ſcarched for
the ſame tocurionilye , ot to pluckit outal-
thoughe that vve might calylye have attayned
there vnto, & touched it, becaule of the daun-
ger that therot might enſue:as for example, a
violent bleedinge throughe laceratione of ſo-
me vayne,or arterye:anye great & violEt pay-
ne,throughe the ſtretchinge or dravvinge for
the of ſome ſynnue, or Membranes: An eſpe-
ciallye it is notnecceflarye,curiouflve toſcarch
after ſuch thinges, or todravve them forthe,
vvhich ci not rott, or corrupte,as that vvhich
eaſylye,orin time can come to rotte. But yet
it1sallvyayes better, thatall vvhich is ſtrange
andalicnate vnto mans bodye,and is contay-

D ned

de contay
ninge the
bulier in
th< bo-
dyCc.

> —_—_— = _ , -

_— 2 WM —

The Frenche Chirurgerye

nedin the ſame, be drayvene therour, then to
lect it tarrye therin, becauſe that the health (as
vve have al readye ſaycd)is farre ſurer,concer-
ninge thedafiger, that is then preſent, to cauſe
the cured vyoundeagayne to burſt op, vvhe
as the bullet, or any ſuch like thinge, cometh
to reprzſet himſelfe:or that vveſhoulde not
becoſtraynedto make an apertione anye vyhe
re, vyhether the fore ſayed bullet throughe
his ponderouſnes might chaiice to be deſcen-
ded.

The Strange thinges of the vyhich in this
place vve have ſpoken,are of tvvo manner of
ſorres, for they are,cther cxternall,as Ir6,vvoo
de, bullet, ſtone,or vvolle:or they are any ſub-
ſtance of our bodyes,as anye ſplinters or par-
cells of bones, & the cogealed bloode, vvhich
vve notvvithſtandinge eſteme it ſtraunge, be-
cauſe they are ſeparated from our bodyes,and
are noe more partakers of ourlyfe, or vitall
ſpirites,as they vveare before vyhe they as yet
vveare all one yvith them, vvherfore they are
novve become ſtrange.

Theints= My intente & purpolſc is nothinge els, then

rcofthe todeſcribe vntothe yonge Chyrurgiane, the

© praftice,of all bullets, and ofal other ſtrange

thinges, vvhich might thervvith enter mingle

themſelves, or thervvith might be cruſ hed to

peeces, hovy todravyethe out of the bodye:

Becauſc int! ſe our dayes heere in Fraunce

ther is noc other ſhott vied : ſeinge thatthe

knovvledge of the extrattinge of the ſame,

may caſylye lcade vs vnto the knovvledge,

hovve to dravve forth ſhaftes, &Arrovves out

of mans bodye , of the vyhich the auncicnte
profeſſors have verye copiouſlic vvritten.

Which
arethe
ſtrange
things,

3Howe that a Chyrureiane aptly & fitlye to dra-
We a bullet out of the bodye , ought to conſider
their difference, the — the par-
ze, in the Which it is ſhot.Chap.2

) He Chyrurgiane beinge re-
> queſted anddelired rodrayve
forth the buller, havinge pe-

JC
—=42

7-

Wherin /

conſiteth 709 arced & penetrated ſome par-
the daun \ Sh: KI tc of the bodye vvith leaſte
Be of dra SL ASre>Rz trouble, & hinderance to the

forth of patient fitlye, & finelye to accompliſh the ſa-
ullets, me, becauſe that ſometimes they are dravyne
forth vvith inſufferable payne,ſ hall firit of all
conſider & marke, that the daunger conſiſtes,
ether in that parte, in the vvhich ſuch bullets
are ſhot,or in the ſpecies forms, and differen-
cc,of the bullers:itis therfore firſte of all ne-
ceſſarye, that he obſerve,and knovve, the na-
rure and quvallityes of thoſe partes , for ſome
partes vvil more gentlyc and ſoftlye be hand-
led , then others: vyherforec he muſt conſider,
on the ſubſtance,quvanritye, figure and forme,

compoſitione, vnitinge, originalle, tempera-
ture,and one the neceſlitye & vic of the tame
parte. To the yvhich end & purpoſe, he muit
note vyhat yvoiides, in the vvhich the bullets
have binne ſhott,are incurable, or difficult,
or caſyc to be cured, becauſe that vve may ad-
moniſ he, the frendes,and kindrede of the pa-

' tiente, of thoſe accidentes vvhich might hap.
' pen vnto the vyoiide, the bullet beinge drayy-

ne therout , alſoc of the certayntye or feare,
vvhich throughe the dafiger, vve are to expec-
te, of the healinge ofthe ſame, For firſt of all Adviſe!uf
Celſus ſayerh, that a prudente , and vvyſe Chy- Celius,
rurgiane,ſhallnotatanye time take in hide,
ſuch a patient, for vvhome it is impoſlible to
be curede, & eſcape death, becauſe he admini-
ſternoe occaſione vnto others to ſuſpette, &
thincke, that he hath berefte the patient of ly.
fe, vvhich othervvyſe throughe the bad fortu.
ne of his vyvounds isdiſceaſed, Andſicinge
that the daſiger is greate, but yet notvvithſti-
dinge entermingled vvith ſome good hope,
the he ſ hal admoniſhe the frendes of the pa-
tiente, that the matrer is heavye,and ſuſpee,
becauſe if ſo be the arte & ſcience, be ſupprel-
ſed, and overyvonne of the diſſeaſe, that they
ſhould notas then thincke, ether that he hath
not knoyvne therof, or cls that he hath ſought
to abuſe the frendes. But that ſuch is the offi-
ce,and the dutye,of a yvyſe and prudent Chy-
rurgiane , alſoisitthe fate of a Runnagate
Qvackſalver and deceaver, ro make anye thin-
ge, ſeeme to be verye daungerous, vvhich of it
ſelfe is caſye , and light, becauſe vve ſhoulde
thincke, morearte to be in him, then indeede
theris. Itisalſocſcemlye, that the Chyrur-
giane cofcſſinge, the cure to be caſye & light,
doe paune his credir, & reputation, becaule as
the he might the more vvillinge, thincke one
thar, vvhich might be moſt commodious and
profitable,to the curinge and healinge of the
paticnt,and that the diſſeaſe vvhich ofit ſelfe
is ſmalle,throughe the negligence of thoſe, of
the vvhich the paticntis kepte, be made noe
greater.

To this end Paulus Aegenera counceleth vs, Opinio-
that if ſo be, the bullet continue, or tarrye,, in neof Pau
anye of the yvorthyeſt partes of the bodye,, as lus Xgi-
in the Braynes, Harte, Liver,or throte , in the 2*#+
kidnies, bladder,or Matrice,and the ſignes, &
tokens of death revealinge themſelves vve ci
not by anye mecanes poſlible convenientlye
vvithour greate paynes, & dilaniatione of the
vyounded parte dravve forth the foreſayed
buller, that as thE vve may not offer to touche
it, becauſe that vvithont doinge anye good or
furtherance, vyvedoe not adminiſter vntothe
ignorant & common poeple, anye occaſion,
of cvell ſpeakinge or blaminge vs.

Butallthoughe thc iſſue of the yyounde, be
as

eto

* bullctzs,

ot Iaqves Givillemeau.

as yet vncertayne, havinge admonil hed and
Mend fortoulde the daunger , vve may vvith Gods
m:n pre= helpe take the cure in hande: becaule that fo-
ſerve ther me havinge an Apoſtematione , inanye of
livesado- the yyorthyeſt partes, agaynſt the opinione &
vethe op1 :
in ofthe Certayntye of theChyrurgiane, have as yet be-
Chyruc- helde & preſerved ther lyte : yea vve have al-
gal. fſocſccn & behelde ſome,in the vyhicha par
cell of therLiver,one parte of the Epiploon, the
vvhole V Vombe hath fro them binne ſepa-
rated, or hevved & cutte of, the patient for all
this hath binnecurcd, and preſerved to lyfe.
V Ve havealſocatſome times in a vehemete
& greatc ſquinantie, perced & made an aper-
tionc in the throte. Burif ſoc be that vve ſut-
fer the bullet to contiuuc in the bodye, orin
anye parte of the ſame , vvithour extractinge
of the ſame , vvhen that caſylve he may be
dravyne forth, it neceſlarylye follovveth, that
the patict muſt dye therofe,it might alſo brin
ge the Phylicion, orChyrurgiane into the na-
me of beige cruell, & mercyleſſe, vvher other
vvylc the bullet beige dravvne forth, it might
be that the patient might as yer be curcde,
vyhertore theChyrurgiane muſt alyvayes cn-
devoure & doe the beit he can, vyhen he hath
forttoulde, & admoniſhed the frendes of the
paticnt, of the daunger , becauſe ſome times
greate & feartull yyoiides beyode the expecta-
tios of all mE are cured, vyherfore vve ought
notatanye , time topermitorſuffter the pa-
ticte vvithout helpe or ſuccoure, vvhere ther
Wemuſte js anye ſmalle hope of beinge cured. 'And all
not at thought that all thinges of this our operatio-
leave the nc fall not out accordinge vnto oure minde,
patient, yet notyvithſtandinge, muſt not vve leave to
cffecte that vvhich this arte & ſcience requvi-
rcth, & that vyhich our coſcience vvitneſſerh
vnto vs.

Aboveall that the Chyrurgiane muſt con-
ſiderc,on the vvounded parte, he muſt alſoc
farther conſider one the differece, & varictye
of bulletes, vvhich conliſteth, inthe matter,
forme, quantitye, number,and facultye of the
b ſame. As concerninge & touchinge the mat-

ter , althoughe that the foreſayed bulletes,
moſt commonlye arc of leade yet for all that
ſometimes the beſieged, & they that { kermit-
he in the feeldsare conltrayned to vic tinne
bullets, Copper, pecces of iron, ſteel, peaſen,

Conlide-
ration of

_ gerdelaye, vnto the next daye, put in vre and

yea & alfoc little ſtones or pebles. Ascon-
cerninge the figure orforme therof they are |
molt commonlye rovynde,although therare |
ſome thotre vvith three corners, ſome foure |
corners, & ſome of other faſ hons. Touchin-
ge the quantitye, ther is great difference con- |
ccrninge the greatenes of the peeces , by the
vvhich the bullets are ſhort. As for the niiber,
& conititutione of the torclayed bullets, ther
arc ſome yvhich thoote, vvith more.the vvith |

one bullet , vvith ſome vyhicharc faſtencd

Fol.6.

the one, vvith the other, vvith little chavyned
Bullets, vvith hayle ſhore, vyhich ſpreade the-
ſelves , inthe bodyc ofa man. Spcakinge
of the forces orfa-ultyes , of bullets 1 have
notas yet geven anye credite vnto them that
layed the bullets might be poylencd, becauſe
as yet ther hath binne never a famous Chy-
rurgiane vyhich cyer hada venomous thorte
vvoundein hande in thele our tymes vvhich
hath made anye mTtione therote, as is plavn
lyeſhevved, in the ditcourſe of the ditccated
the right vyorſhipfull MAmbroſins Pare,
Cchiefe Chyrurgianc tothe kinge his maictt ve
vvhich hath veryc learnedlye diſcuſied & as ir
vveare groyynded this queſtione in his booc-
kes of Chyrurgerye.

a5 The bullets, all other ſſraunge things ought in
the firſt dreſſ inge to be draWne forth , ſoe farre
as it i pal tble to be done : CF of the meanes
oW ro eff ecte the ſame.Chap.z.

Hen that the Chyrurgiane
{ hall have c6ſidered , one the
parte, &alloa little obtcrved,
one the varietye, & difference
of bullets, he thall chuſe,acer
tayne niiber of inftrumentes
vyhich cotinuallye he ought to have by him,
eſpeciallye thoſe , vvich he ſuppoſcth robe
molt fitteſt todravy forth the fore ſaved bul-
let vvith moſt facilitye & cafe. The yvhich he
{ hall atthe firſt drefſinge, vvithout anye lon-

We muſt
endevou-
rc to dra-
vve forth
the bulle-
re at the

hrit dref-

lingcs

prattiſe : for the bullet beinge dravvne out,
ſhall the patict, & Chyrurgiane alloc be freed
from great daunger, the vvhich both of them
vvithall right ought todelire and longe for.
The bullet may alſoc prxſentlye, vvhile the
vvounde is fret he & greene,, befelt vvith the
finger, or moſt fitlye vvith the privet or (car-
chingc iro vvithout tarryinge vntill the next
daye, becauſe that the vvounded parte, throu-
gheanyeconcurringe humors, tvvelleth out
of hide, throughe the payne ot the vvounde,
by the vyhich the entrance of the vrounde
cometh ro ſvyelle, as altoc throughe the for-
ccof the bullet, anye of the Mcbrancs or TC -
dones, beinge brutcd the forclayed cntrice of
the vvounde, ſtopperh:becautc moſt comon-
lyc ſhotten vvo1 :144c* doe not enter right, or
liniallyc intot!; - 50441 © ut turninge, &alloe
vvithany Mc: 1-1 364, 14 1 ndones rovynde
about vvour .-,<. 'od,as altoc the

bulletthroug! (its p44 (0nd hes, runninge
this vyay or that 7, ein iofallinto
ſome hollovvec place, 1k mes frul-
trateth, & armihilateth 174 + \zc of rhe
Chyrurgiane , ſothatby +: © canes poſlt-

ble,he can nether touch nor ftinde him: above
all this, the fotclaycd vvounde , is the {econde
day more {cnkble,& tender,then vihen | hee

3 11 is fret.

The Frenche Chirurgerye

is freſhe,as the patient allſoe vyhile that the
vvounde is freſh & vyarme,is better able to
abide the ſovynding or ſcarchinge ir6,or pri-
vett:& that vvhich is more, the vyvounded ha-
Theyvoi vinge obtayned ops time to thincke, & conſi-
19m der of his vvoiide, his harte beinge as yet puf-
his vyvog- fed vp vvith vayn glorye , is not as yetatthe
deatthe firſtdreſſinge, poſeſſed yvith anye timoroulſ-
ficlt. nes orfeare,as he is in the ſeconde or thirde
dreſſinge:vvherfore in his friſt dreſsige, vvith
more courage, & patience, isable to beare the
payne,and dravvingeforth of the bullet.

Firſt of all therfore, if ſo be that by anyc
meanes vve ci ncetherfinde nor feele the bul-
let, roacomÞliſſhe & effefte this vvorke, fit-
lye & convenientlye, vvith the leaſte trouble
& payne of the patient, vveare conſtrayned to
cauſe the patientro lit or ſtande, in ſucha for-

me, & poſture, or, collocatione as he fate or |

ſtoode, vyhe as the bullet vvas { hot into his
bodye, yea alſoec vvith the ſame geſture, & be-
havioure, vvhich he vſcd: for the chaingin-
| dom ge of the forme as yvhen vvefight, or vvhen
multſer Vvearelaycdaloge,or vvhe vve tide vpright,
the patiet or beinge ſett doyyne, cauſeth a greate alte-
ratione, in the beinge,and ſituatione, of theſe
partes of the paticnte, becauſe the vaynes, ar-
rerycs, ſynnucs, bones, & muſcles, may one ſo
manye vvayes & faſ hons be turnede & vvoi-
de,as they have divers vies, & ations vnto the
vvhich they ar fitt, it be cther in the erectige,
Orin the ſtoupinge, or in the turnige : vvhich
often times is the occaſione, that altough vve
ſearch, & feele for the bullet, any muſcle lye a-
nyc other vvay turned, then itdid, yvhen the
forclayed muſcle yvas pearcede vvith the bul
let, the vvoiide in that place moſt commGlye
beinge ſtopr, ſoc that for the moſt part the ſe-
archinge iron can notenter that place vyher
the bullet lycth:But vvhen vye ſhall have ſect
the patient on ſuch a manner,as he ſtoode, or
ſat, vvhe he vvas (hot, thE come all the partes
into the ſame ſituatione,as they vyeare vvhe
he vvas ſhort, yvherfore,as the the proofe or
ſearchge iron , may paſſe yerye caſylye, vvit-
hourany let, cvE into that place yvheras the
bullerlyeth. And foe farre forth as the patier,
colideringe his greate imbicillirye & vveake
nes, hath not the {trengthe ro ſtide in that or-
dre, vve muſt as the at the leaſte, ether ſittinge
orlyinge,turne, & vvinde him on ſuch a mi-
ncr, vvhether he ſittige orlyinge, in as much
as is poſſible,as he vvas vvhe he reccaved the
Whythe ſhort. Novve beinge in ſuch a ſituatione, vve
vvound are firſt of all councelcd,if ſoc be the vvoſiide
_ bs be narrovve,asallocallauncicre Chyrurgiis
teache*vve muſt as thE dilate the vvoiide, be-
cauſc the bullet, or that yvhichis therin, may
have a free paſſage : for ther is nothinge, that
cauſcth more in flammatione, then dilacera-
rione,or tearinge of the flef he, yvhEas vvith
violence vve ſccke to drayve out anyec thinge

*. Re - _—

_—

out of the vvoſide, yyherfore it is better to ma
ke the , dilatatione vvitha little raſore then
Vvith violece to teare op the vvoſide : further
vve muſt note, thatin rhedilatige of the vyoſi
de, vve chaunce not to hurte anye ſynnues,
vaynes,or arteryes:the vvhich if you percea-
ve, you ſhall eſchevye & avoyde the, or vvith
alittle & blunre hoocke pluk them one the
one ſyde, & proceede berrvvixt them, as Celſus

in his 5 cap.of his ſcavEth booke teacheth vs.

After that vve ſufficierlyedilate the vyoii- xy, cg
de vve muſt them ſearch for the bullet or that de inſtruc
vyhich is ſhot in the vvounde, & feele firſt of tioac.
all vvith your finger,ifir be poſſible, as vvith
ourdoubrit is,the beſte ſearchinge iron & in
feelinge vve muſt c6ſider vvhatr vyay the bul-
let hath taken, & if it be deeper thE the length
of your finger,as then vve muſt vic ther vnto
the common ſcarchinge iron, vvhich muſt be
reaſonable thick, and at the loyver end verye
rovynde,for if ſoc be,it be to ſharpe pearceth,
and gocth betvvecne ryyo muſcles, vvith out
folloyvinge that yvay vvhich the bullet vveEr.

V'Vhen as therfore yve have certaynlye T1 ,;..
foyvndc out the bullet, the thirde inſtructio- de inſtruc
nc is that vvedravyc him forthe to the effec. tion.
tinge of the vyhich, ther is nothige ſurer, the
to drayve him throughe the ſame place , by
vvhich he entered, & eſpeciallye vvhE he hath
not penetrated todcepe ,orpaſled throughe
anye greate vayne,arterye,or ſynnue* becau.
ſe the vvay isallreadye made, vvherfore yve
ncede not make any other inſciſione.

Amongſtall inſtrumers vvhich ever I have , icq.
vſcd, I have contered my (elfe beſt, vvith that neone
inſtrumete, vyhich vve call, the ſpoonevvyſe, he c9n-
orſpoonefaſhoned bullet dravver , becauſe jc? v
this inſtrument, may both be vied fore a ſear-
ge iron, & a bullet extractor alſoc, ſoc thatas
ſoone as vve heervvith feele the bullet vve
may alſoc at that time, plucke him out: bur pe
arcinge veryedcepe, & one the c6trarye ſyde
is little ſubſtice, & vvithour greate vaynes, &
vve vvith our fingers may feelec the bullet, it is
the better, & rather coſiceled, ther to make an
apertione,namelye,on the c6trary ſyde,of the
entrice of the bullet, then ro drayve the ſame
by the vvay vvhich heentrede, conſideringe
the greate diſtice,and ſpace, throughe vyhich
he beinge dravyne backyvardes, muſt of neceſl
ſitye paſſe byc,asalſoc the payne is farre grea-
ater, vvhe vvith the bullet, & vvith the inſtru-
met, the vvoſide internallye cometh to teare,
& bruſe the Fleſhe, the vvhe by inſciſione vve
dilate the vvoiide, by vvhich ſhee is alſoe ſoo-
nercured, becauſe that vvhich is cutt, more
re caſter & ſooner is healed, then that vvhich
through dilaniatione is vvounded : and if
it be poſſible, the forclayed inſcifione
muſte be made right vnder the buller, but (6.
vvhatgreater then the bullet, becauſe the vve
neede not dravyc him forth vvith anve viole-

CQ

of Iaqves Gvillemeau.

ce, & doe not chaunce to lacerate the yvoiide:
This bcinge in this ſorte finiſhed , vvel hall
finde the bullet a greatdeale neerer vnto vs, &

more caſyer to be drayyne therout, vvithout
paſlinge by to great & tedious a vvaye, inthe
dravvinge forth, of that yvay by the vvhich he
entered, yea vvhich is more, the vvounde vvil
veoge.. a greate deale ſooner be cured, and vvith lefle
* Qaunger,the vvounde havinge tyvo iſſues, to
- vvittheone ynder, & the other above, partlye
becauſe ſhee may receave the remedyes the
berter,asalſoe c6ſideringe the matter, vvhich

one both ſydes hath her iſſue, vvhich other-

yvyſc might be retayned, & collet orgather it

ſelf rogetherin the bottome of the vvounde.

As ſoone as the bullet is dravve forthe, vve

muſt ſheyve it the patiente, becauſe he may be

joy full & gladde, to be releaſed of that vvhich

vvas ſuch a moleſtatione & trouble vnto him,

and vvas cauſe of ſogreate payne, and by the

vvhich he might have gone ſo langea time

vvith payne, vvithout bcinge therof cured:

vve muſt endevoure by all meanes, ether by

OY dravvinge him forth, throughe his entrice,or
ruc elſe throughe the c6trarye {yde of the vvoun-
de,vvell knovvinge hoyve to cffecte this dra-

vvinge, vvith all firnes, &conveniece, becauſe

vve\ houlde not forſake the yyoiided, nether

diſcourage him, throughe our longe operati-

one, or yvorkinge : & cftecte thatalſoc vvith

the leaſt payne poſl ible, becauſe that the pay-

neofthe vyounded patient therbye, vvhich is

= a 2c might not beencreaſed , for it is to

_ tovvorke greate a ſhame, to bringe a vvounded perſon
vvylelye. yvhich bath cnoughe to ſuffer , into greater
o ſufferice & payne: vve muſtalloe dilligentlye
bal note, that vve doe not bye anye meanes hurte
anye particulare parte,and eſpeciallye the gre-

. vitall partes , one the vvhich vve muſt have
an eſpeciall eyc,and care : for it vyvoulde be to
greate adiſgrace, & { hame, thinckinge to dra-

the bullet hadde ſtayed therin.
VVeareoftT times deceaved, nether ci vve
times de- alſoe finde the bullet , becauſe he is clothed,
ceaveth yyith cotten, vvith vvolle,oz vvith anye other
- —_ parcells ofapparrel, vvhich the f@re ſayed bul
let,carrycth into the bodye vvith him: orelſe

becauſe the fleſhe,or the Membranes vvhich

are bruſed, or vvith violence of the bullet |
have binne reEte, cover the forclayed buller.It |

isalſoc ſomtimes evident , that the foreſayed

parte, & yet notvvithſtidinge, havinge in the

nye muſcles, betyvecnc any MEbranes, or be-

giane not findinge of the ſame, & ſcarchinge
for him accordige to the rectirude of the vvoll

ate vaynes,arteryes,or ſynnues,oranye other |

vve forth the bulletrodoec more harme, the it |

—_—

bullet, erreth fro his right vvay, & chaunceth |
tocome ſomvyhethera ſyde, into ſome other |

paſſage mer yvith anye bone, is for all that re- |
moved into ſome other place,as betyvecne a-

rvvet anye ligametes, vvherfore the Chirur-.

—— _

de,muſtturne,& yvinde the iuſtrume@t one all

ſydcs, & feele vvith his hides one the out ſyde
; not onlye the vvoſided parte, but alſoe the cir
| cumuacent places, becauſe therbye he might
| knovve vyhether that the bullet might be tic
| ke:vvhich he ſhall diſcerne,and marke, ether
| colideringe anye payne, ſpininge of the (kin-
| ne, hardnes,or throughe anye blevynes or ce-
rulitye, vvhich comonlye, is notcd & ſcene a-
boute that yvoiided parte, vvher,the bullet is
covayed,& ſuncke. V Ve mutſtalſodilligerlye
note, that vyhe as vve thincke to have founde
the bullet, vve doe not raſ helye make an in(ci
ſion, before vvea are certifyed of the place of
the bullet, and ſoc drayyc him forth of the {a
me:for that Chyrurgiane yvcare vyorthye to
be laughed to ſcorne , vyhich ci not accopliſ-
he his pretended purpole after that he hath
ſoc inrolleratlye tormented the patient.

Albove all this, vve muſt note, and marke, The'bul-
vvhether the bullet have trayled nothinge |< {vrm'1-
vvith him into the vyounde,as paper, vvoole, _ 1G.
cottE,linne,oranyethingeels of the paticnts thing:
clothinge,orapparrell,oralſocanye parcellof vv bm
the patiEtes armour,or harnas, oranye pecces body wy
of vvoode, ſtones , oriron, vyhich the bullet * *
mightby anye mcanes have carryed vvith him
intothe vyound : as ſuchathinge might vvyel
chailce, vvhe the buller anye vyhere agaynſt
avval, oragaynſt ons harnas, on the vyhich
the fore ſaycd bullet chaunceth to rebounde,
breakinge , & receavinge ſome ſmalle parcell
of that on the vvhich he plettered, carrycth it
vvith him into the bodye : If ſoc be ther be a-
nye ſuch like thinge,carryed, into the vyvoride
vvith the bullet, vvc oughtto have noc lefle
care of that, yea rather more, the one the dra-
vvinge forth of the bullet, for ſuch thinges are
vyholye cotrarye vnto nature , becaulc they
corrupteand rottin the yvounde, out of the
vyhich needes, muſt follovy ſome great Infla-
mati6s, or Apoſtematios, & ſoconlequetlye,
the vvounde in aloge time ci not be cured,
vyhich othervvyſe might caſylye be cured, &
much ſooner,althoughe that the bullet as yet
tarryedtherine, & eſpeciallye if that the bullet
be of leade, becauſe that leade, vnitethe & ma
keth it ſelfall one vvith our nature. And per- Meanes
fealye to knovve , vvhether the bullet have ©9vv *0

- | | knovv
carryedanye ſuch thiges vvith him , vve muſt ,herther
colider, one the harnas,if that be any vvheare the bul'-r
torne,or broke, & if it bea mayled doublete, Þ2v<r1k*
hovy manyc mayles ther arc vvantinge , the — ;
vyhich one that makerh mayle doublets caſ\y- \ <A
lyeci tell you:vve muſtalioc note, the patic-
tes apparrell, his ſ hirte, vvhether ther be any
greate or ſmall pecces therot torne & rere: or
vyhether ther be one, 6lyc hole fovvnde ther.

eSHo'v We ought to dra'Wve forth thoſe bullers which

facke faft in the bones,or im the i1ctures or royne-
res of the ſume:alfoe What We ong/t to note whe.
PAT.

Fol.7.

/
»
|
\
1

The Frenche Chirurgerye

was the foreſayed bones are cruſhed , & beatento
peeces.Chap.4.
) He greateſt davnger that con-

rom ©» fiſtcth in drayvingeforth of a
vohich Þ bullet is, vvhen the fore ſayed
Mes ff al (op puller ſtickerh faite , in anye
nes, arcs WIZ BARS bone, orinanycioyncte be-
vere dif- COArRS ryveenc the bones. If ſoe be
_ the bullet, ſticke faſte in anye bone, it is moſt
ncout. Convenient that as the vve dravve him forth,

vvith that inſtrument vyhich vve call Extrac-
tor, or Grovvyndedrayver vyherof vve muſt
ſert the poynt one the bullet, & vvide it verye
faſt in the ſame, & vvhe itis therin faſte, vve
muſt ſoftlye & calylye tryc, if he vvill not fol-
lovve, turnige the handes, this vvay and that
vvay,the better to make him looſe, and ſtirre,
But if ſoc be that vve can not ſoe ſoone gett
out the bullet vve muſt then ſuffer him , to
cotinue therin ſome certayne dayes, vvith in
the yvhich time, the extcrnall fleſ he vvill be-
ginne to rotte, throughe the yyhich the vvol
de vvilbe ſony yhat dilated, & vyyder,and the
bone vvill ſomyyhatdiſcloſe & open,duringe
the time, vve mult everyeday ſtirre the bul-
ler, & vvith the inſtrume: lift him vp becauſe
thatthusdoinge, the forefayed bullet mighr
by lirtle & little be removed & Looſed: andif
that vve perceave that the bullet ſticketh to
faſte, & can not by anye of the foffayed mea-
ncs bedravvne out: then is this the laſt reme-
dye, that vve quite, & cleane pearce and boare
throughe the bone, vvith the Extraftororelli
vvith the poynt orpiramide of a Trepanc, pe-
arce & boare,agaynſt, & royyndeaboute the
bullet in divers places , becauſe ther may be
Elevatori made ſome place for an Elevatorium , on that
Soha {ortetoliftvp the bullet & drevve him ther-
' out, ifthat vvithall gentlenes it may by anye
meanes poſlible be brought to paſle for yve
arcin noc yvyle counceled, vvith violence or
vehemence to cffeftit. Andifit bealittleand
ſmall bullet, & that he ſtick in anye place faſt,
as in the middle of the greateſt focile of the
ſhinne bone,or in the middle ofanye ribbe,
orinthe ſternon,orin anye bones of the hea-
de,vycarcas then counceled,to trepane that
bone, ſettinge the Trepane on the bullet ,ſoce
that the fore ſayed bullet, be rovvnde about
compaſſed vvithinthe circkle of the Trepane,
and that then the trepane might aboliſ heand
take avyay all that, vvhich reiayncdand helde
faſt the bullet.
Onvyhae Bur vvhen the bullet isany vvhere, in anyc
ſorevve Lovncte pearced & penetratede betvvene tvyo
maſt bones,as tor example, in the knees, vve muſt
= then as calycly as itis poſſible , endeyoure
bullct our VVith the inſtrument to ſtirre the bullet he-
of aioync ther, & thether , hut allvyayes ſtrayghr fore-
_ vyarde, novve toyvarde the hippe, and then
to\yarde thelegge becaule that therbye vve

Pa my 7 —

7 . -— $« y” "—_ —_ —— edt... tit.
4 —_—_— - ---- — 7 w—_—__—

might the better, vnſhutr & makelooſe, vvith
the leaſte payne that may be, the ligametes, &
tedones, vyhich corayne &houlde the ioyntte
ſoecloſe together: by the vvhich apertione,
and dravvinge forth the ſpace, & diſtance be
ryveenc the bones, vvilbe a little dilated, (oc
thatatlengthe, vvith leſſe payne & trouble, &
vvith the little ſpoonevvyle bullet drayver,
vve {halbe ablero dravve forth the bullets,
Bur if yve fearcd, leaſt vve{houlde put the pa-
tict to ſome intollerable payne, throughe the
diſtendinge of the ligamentes, & redones, my
councell isas the, that the yonge Chyrurgia-
ne,cndevoure,to follovve and vic the ſame,
vvhichlT did or have vicd on my lorde of Flo- A notab!:
yon: vyhich in the ſkirmiſhe of Macſtrichr, Hiltorye.
gotaſhotrin his knee, the bullet lyinge faſte, |
& occulte in the iovncte betvvee the bones,
the vvhich nether I, noranyechyrurgianes, of
Ds Ihon of the Ecaſte,coulde finde,art the lait
itſcemed good vnto me,agaynite the opini6s
ofall the reſte, yve ſhoulde ſhutr & foulde to-
gether the knees of the patient : vvhich he
doinyc vvith ſome payne, thc bullet,through
the fo.iuldige of the Knees, & the bones vyhich
place & preſſed thEſclves together, vvyas dri-
VE therout, & revealed it(elfe externallye,vn-
def the ſkinne,and one the ſydes of the fore-
ſayed ioyncte, vvher I havinge made a little in
{(ciſione,my ſelfc have take the ſame forth of
that place.

In like ſorte, if ſoc be the bullet, have re- Wemuſt
bovyndedagaynſtanyc bone, and the bone dilate the
throughe the violece therof be broke, & cruſ- =o my
hed rodivers peeces, & the bullet as yet remay ne be di-
ningetherin , orclſc havinge pearced quite laccrated
throughe,itisas then the ſureſt vvay to dilate
the vvounde, asfarre forth as the vvounded
parte iSableto ſuffer, it, & that ether in the en
trance,orifſue of the vvounde,at the leaſt if it
havean iſſue:the vvhich beinge finiſhed, vye
ſtrayghtvvayes vvith the finger, or vvith anyc
other inſtrumeEte, muſt ſearch for the ſpliter,
and finelye drayve forth, thoſe parcels vvhich
vvholycarec ſeparated fro the bone, & alſoc in
like ſorte, the bullet, if ſoc be as yet he ſticketh
therine: & if that ther vvcare anye greatc pee-
ces,or parcails of the bone, vyhich as yct arc
not vvholye ſeparated fr6 the bone , butare
yetfaſtened yvithe the Perio//zu-, or the liga-
mentes, vve muſt nor vvithanye violtce dra-
vvethe forthe, becauſe throughe ſuch violece
vve might vrge great payne & convullione of
ſynnues, vyhertorc it is farre beter to place &
ſituate them by the bone, on the vyhich as vet
they arc halfc faitcned:For nature, expellethe
them moſt comonlyec vvithe the matter forth
of the vvounde, vvithoutanye payne, they le-
parate alſoetro the bone, throughe theincrea-
linghe of the nevve flet he , the vyhich rc-
pelleth the ſame from him, or els in time they

con-

Wo

of Iaqves Gvillemeau.

F ol.S.

Fe
conioyne themſelves together,and are ſoca- ſmall payne & greete tothe patient ei dravve

gaynce curcd,aslhave of tE times knovvne the
ſame tro chaunce, andas yetin freſ he memo-
rye, Monf*. de la Tour , ordinated and choſen
gentleman of the kinges chamber of preſen-
ce, vyhich in the Baricades,or Treches of Par-
ris, got a ſhot in his leftlegge , the entrance
vvherof vvas in the oppermoſte part of his
ſhinne bone, breakinge the leaſt focile, in di-
vers peeces , of the vvhichalſo one peecc of
the ſame focile came forthe, through the aper
tione, vvhich the foreſaycd peecc, throughe
the violence, & blovve of the bullet, had ma-
de himſclfe, vvhich cleanlye pearced througe
the Muſcles called Gemint & Solores, vvhertore
m'Habricor, BarberChyrurgii at Parris, made
an inſciſionein the forecſayede mulcles part-
lyetoextracte & dravve forth thoſe ſplinters
forth of the ſame, & partlyc,to reſtore agayne
thoſe broke peeces of bones, into the vyoun-
de, vvhich as yet vvcare not ſeparated fro the
Perioſtium:and is in the ſpace of tyvo moneths
agayne cured , the foreſayed peeces of bones
beinge therin verye ſoyvndelyc healed, and 1
, alfochavetreated him vatill ſuch time as he
vvas vyholye & fullyecured.
Sotimes the bullet pearceth cleane throu-
he, ſom cartilage or griſſelye parte,or throu-
nd Se ſome Tendon mobi beinge ſofter the
throughe the bone,doth not breake, but onlye ſplitteth
= gl under or bendeth itſelfe , &as ſooneas the
bullet is paſſed bye, ereQteth it ſelfe agayne, &
occludeth,the paſſage, vvher vnder the bullet
hidethe himſelfe, rhe vvhich, al thoughe vve
endevoure toſcarch for vvith our fingers or
= fearchingc iron, itforal that is impoſlible vye
ſhoulde finde him, vvhich comonlye chaun-
ceth in the vvolides of the breſte,, vvhe as the
breſt bone is pearced. AsI remember ſuch ro
have chaunced, in my lorde of Malicorne
beinge vvounded, & hurte before Maillezes
in Poicrou,

The bul-
Jer fomt1-

93 Hos that the Chyrurgiane ought not be to curi-
ous in ſearchinge out the bullet. Cap. 5.

Crnd Llthoughe , the bullet be of
dodtrine , R& anyec ſtrange, &alicnatc, ſub-
fora Chy Vas (I) ſtance , yea alſoe as intollera-

RAaAk2 blcfornature, as is the livin-
| j ge vvith the deade, the princi-
palle intentione , rocure all
vvoundes is, that vve mult firſt ſeparate that,
from the vvounde vyhich oppugneth nature,
yet notvvithſtandinge ought not the Chy-
rurgiane be toocurious, in ſeckinge all con-
trarye thinges inthe vvound or to too boulde
& audacious, indrayvinge the out,cxcept he
lightlyc or caſylye,can finde them, & vvithe

—

| them our.

Becauſe that often times, in the
firſte,vve can finde nothinge, but the vvonde
beinge come to govd ſuppuratione,and mat-
ter,the bruſed flethe royyndeaboute the bul-
letcorruptinge & rottinge,at the laſt maketh
himan apertione, throughe the vyhich natu-
rein theend , expcllethe the bullet vvithour
anye pane, as1S the nature & quallytye of the
vitall & livinge partes, toexpell fro them the
mortityed and deade partes : the vyhich vve
oughtto vnderſtande of all other contrarve
thinges, vvhich are retayned in a vvounde: as
ſometimes bceinge the ſureſt & beſt vvay, that TheChys
vve recommende ſuch thinges vnro Nature, rurgiane
& folloyve her inſtruions, then that vve in 5 the fer-
vayne tormente,and moleſte the ſame, ſeinge vn
thatitis ſhee onlye, vyhich curcthe the difle-
aſed, vvhEas ſhe throughe the Chyrurgiane,
as throughe her ſcrvit is opitulated & helped:
For I have knoyvn manye,and divers, vyhich
beinge ſhott, the bullet hath corinucd in the
bodye,are yet forall that perfetlye cured, and
thatin ſhort timealſoc, vvithour at anye timE
therafter to perceaveanye impediment ther-
of : vyhich cſpeciallye chaunceth the buller
beinge of leade, the vvhich in time by little &
little commeth to vnireit ſelfe and vvith our
natureagreeth : vyherfore fora renoumned
example TI vvillallcadge, the vvounde of M6-
ſieur of Chardon, the firſt gentleman, of my
lorde the Cardinalle of Bourbs, vvho beinge
the Chapelayne, of my lorde of Angvie, hath
gottena ſhotin the ſkirmiſhe of S* Laurenr,
in the middeſt of his legge, of the vvhich ſhot
the bullet, remayned fait ſtickinge therin, the
vyounde beinge vyholye, & compleatlye cu-
red, vvithout perccaving in 28 ycare anye hi-
derance or molcſtatione of the ſame , vvher-
fore he requeſted m'Pare, & me, that vveſhoul Examples
de remove & take a vvay the fore ſaycd bullet
from his legge, fearinge leaſt thatthe ſame,in
time, might be anye hinderance ot moleſta-
tione vnto him, the vyhich vvealloec effected,
findinge the bullet vnited and coalited toge-
ther,as vvel vvith the bone,as vvith anye ME-
branes, and (oe faſt grovyne,and ioyncd toge-
ther,as if the bone, the membrane, & the bul-
let, had all of them binne but one ſubſtance,
It happenethalſoe ſomtimes that the bullet
through his ponderouſenes, & heavyenes by
degrees, deſſendethand ſincketh dovvnvvar-
des,tovyardes the exterior { kinne, that parte
notvvithſtidinge beinge cured, throughe the TO
vyhich he deſcedeth or (incketh, vvithour rhe ghe his
perceavige of the paticr, vvher, vyvithour anye ponde-
greate trouble or moleſtatione of the patict, _—
he may be cut out, vvhich one this manner is govvn-
farre ſurer,thE ifin the firſte yve hadd torme- vvardcs,
tcd him heervvith, & brought him into daun-

ger

te

YO Gel Cc

Lg
-— _ = wo
o « e. Sorted ow - BC > or Ay at OY ATA. =.
'- : < - F©.4 - "a .
o - . _- 4 *% wh
«4 - 4 1 + "+" ;

—_—
_— rr

An exam

The Frenche Chirurgerye

ger of his lyfe, conſideringe the greatdilania-
tione or tcaringe of vayncs,arteryes, and ſyn-
nues , vyhich the hardnecked and obſtinate
Chyrſtrgiane,in ſcarchinge andin dravvinge
forthe of the bullet , might be the cauſe of:

vyherfore I, inall ſortes doe councel , that

vvhe the buller, can not by anye meanes poſ-

ſible fitlye orconvenientlye , vvithoutanye

great torment of the patiCt be dravvne forth,
vveas then quictlye ſuffer him to tarrye ther-
in:In thus doinge vve ſhalfollovve the prac-

|

tiſcof the aunciente profeſſors , yea alſoe of |
pleofHip Hippocrates, vvhich reciteth to have cureda cer
pocrates., tayne perſonage , vvhich had receaved a {hot }
vvith an arrovvc,in his flanckes, vvher of the |
heade,or iron, tarryed therjn, and yet agaynſt |
the opinione of all men,is therofcured & hel |

ped: yyhich foreſayed arroyye heade or peece |

|

|
U

ofiron, ſixe yeares therafter he rooke from

him. Pazlus Aeginetaalleageth, that he hath paytus
of ren times ſcene, that the arrovves have bin- &ginera,
neloſtin mens bodyes, & that the ſame, in a

|

longe time therafter, the vvounde beinge cu-
red, are throughe apoſtematione of thar parte
come agayne to light & revealed themſelves,
Mbucaſis ayeth, that healſoc hath ſeene one, An exam
vyhich vyas ſhotr vvithan arrovve into his Plc of
ſhoulder, of the vvhich ſhotr, the foreſayed —
arrovve,therin ſtucke faſt, & yet for all that is
cured, but that the arrovve, ſeaven yeare ther-
afteratthelength throughe the bone Cocctx
is come forthe and taken out. VVherfore
vve muſt not be tocurious, in dravvige forth
the bullet, vvith great daunger, & torment to
the patient, & to our vtter {hame & diſgrace.

THE SECONDE

TREATISE OF THE OPE
ratione of Chyrurgerye,wherinis diſcourſed,of the

meanes, hovve to Trepane the Cranium, of the Heade,
Contayninge fixe Chapiters.

mm

Of the ſignes &rokens by the yvhich vve may knoyye yyhen ther is a Fracture inthe Heade.

Chap.1.
Ofthe counterfratture, of the ſculle.
V Vhich Fractures vve ought to trepane.

Hovv longe, vve ought to tarrye, before yvee proceede yvith the trepane,
Hovv greate a quantitye of bone, vve ought to take therout.

_ The manner,aud methode of trepaninge.

Chyrur-
gerye
mult nor
ral helye
be effec-
tcd,

93 Of the tokens, throughe the Which, We ſhal kno-
we the fractuaes,of the ſculle.Cap.r.

He operations of Chyrurge-
ax= rye, vvhich vvith greate pru-
KE » dence, & conrſideratione,vvil-
ZXY® be effected, vve muſt notall to
is raſhlye or overbouldlye be-

- ginne them ſeinge, therfore

thatitis daungerous, to open the Cranium of |

the heade , before WE may attayne vato the
operatione, vve muſt dilligentlye and truelye
conſider, vyhether it be verye neceſſarye, or
not, vyhich is revealed ynto vs, by thoſe ſig-
nesand rokens vvhich the auncient Chyrur-
gianes have beqveathed vnto vs: For the ſig-
neortoken, is the demonſtratione vnto vs,
vyhichdiſcovereth , that vvhich before laye
occulte, & hidden : The yvhich fore ſayed ro-

nee

_ 7

Chap,2. %
Chap.3.
Chap.4.
Chap. s.
Chap.s6.

kens,ofthe yyvounded parte, muſte be taken,
andobſeryed , ctherof the atccidenys vvhich
chaunce ynto the yvounde, afrer the blovve,
orfall,orallſoc of the inſtrumet,; ythervvith
the vvounde yvas made. ,
VVe mult therfore firſt of all note, vvhich Diſcrip-
parte of the heade, hath reccaved the ſtrok & tione of
namelye, vvhether the Cranium,one this place the ligne
be thin,or tender, thicke or ſtronge , becauſe
the bones of the heade,are not in all places of
zquallecraſſitude,or of xquall tenuitye :1
ther vve muſt marke , yvhether the vycap6s,
vyhervvich the blovve vvas given, havexrtl.
ſoc cut ofthe hayre, & that it ſhevveth irſelfe
rightin the vvounde.for if it be ſoc, it is to be-
feared, that the bone is bared or vncovered,
out of the vvhich vve may caſylyc iudge, the
Cranium to be hurte, becauſe that it is allmoſt
impoſſible, the hayre to be cut throughe, the
vyhich

L

ob aqves Gvillemean,

vyhich for the moſt parte ſlippeth aſyde, vvith
out hurtinge of the Cranium or breakinge ther
of. Havinge thus conlidered and noted all this
vve muſt interrogate the patient, vvhether he
have parbraked & vomitred anye Cholera, vvhe
ther he loſte not his ſight, and his eyes darcke-
ned, vvhether he loſt not his ſpeeche, or hath
voyded anye bloode through his noſe, throu-
ghe his cares, or throughe his mouthe, vvhe-
alis ther after the blovve he fell notdovyne to the
carth,and ther lay ſtill, vvithoutanye reaſon,

asif he hadd bine one fleepe: For it is impolli-

ble thatall theſe fore ſayed ligneschaunce vn-

leſle the (cull vvere dilaniate, or broke. In like

ſorte if the patient, lye vvithout his memoryec

or reaſon, if he rage, if he be vexed vvithParali-

Divers J#, or vvith Spzſmo, or vvith them both toge-

accideres ther, itis then credulous, that the: Aembrana

ofthe called Dura AMarer,is hurte,and ſuffercth grea-

he tepaynce. And althoughe that none of theſe

heade. accidentes have happened vnto the patient,

yet notvvithſtandinge all vvayes theris ſom-
thinge doubtfull , vvhether the Cranmm be
hurte & broken, or not:and to be therof cer-
tifyed vvearc to note, vvith vyhat inſtrument
the vvound vvas made, asether vvitha itone,
vvitha ſticke, vvith an iron, or yvith anye 0-
ther vvcapons: alſo vyhether it yvcargreate,
or reaſonable greate, light or heavye, ſmooth
or rugged, vvhether the blovve vvas (mitten
violentlyc,or caſylye, vvith greath ire, &fu-
ryc, vpvyvardes or dovynevvardes : of all the

vyhich vve may be cerrtifyed of by the patiSte,
vyhen as vve af kchim on vyhat manner he
vvas ſtroken,or from vyhence he is fallen , &
vvherone, to vviton the earthe, or on the pa-
vement, vvhether he have great payne,and in
vvhat place , for hovy caſyer the blovve hath

am

ſurer,as Celſus ſayerh , thE that yve ſearch the
vvounde, & give iudgement throughe a more
ſurer ligne, vyherfore,if ſoc be, the vvounde
be greate enoughe, vve mult as then ſcarch it
vvith the finger, ſcrapige the bone vvith your
, nayle, one that mannerto perceave the rete,

p- and dilaccratione,and if ſoc be vve can not cf-
of fe that vvith the finger, vve muſt as thEtrye |
_ it vvith the ſcarchinge iron, vyhich muſt not

be to groſle and thicke, nether to harpe and

- ccavedanyenaturall holloyvnes of the ſcul-

mec'the :

nealittle or (malle dilaceratione , vvithout
perceavinge it,and ſtayinge therat. VVhen
as therfore vve leade and petrtfricate the privet
or ſcarchinge iron over the ſculle, & perccave

<=

bin ſtroken the lefle feare ther is of a broken |
ſcull:yct notvvithſtandinge, there is nothinge |

—

thinne, becauſe, if that per adventure vve per-

thaw." ,vve ſhould not thincke &eſtceme itto be.
Wh dilaceratione, or frafture : nether muſt the |
ſcarchin. privetor ſcarchinge iron beto thicke,or grol- |
geiron ſe, becauſe it hould not prztermit & overru- |

F |
Ons,
noe yn{mothnes, then all even, and ſmothe,

then yve ſaye & clteeme the (culle to be yvith
outdaunger,s& not dilacerared or torne. But

it ſo be vve perccaveanye thinge , vyhich is

ruggedand vneven, and that the tearchinge

iron ({tidcth therar faſte, if ſoc be, it be not on
the ſutures or commilſlures, and ioyninge of
the (culle, or anye naturall cocavityc hollovy
nes of the Cranmm , it is thena ligne, that the
heade is broken, or lacerated, and rent v vher-
fore the Chyrurgiane mult dilligentlve mar-
ke,that he doc not inſteede of the fracture, ta-
kethe ſuture, becauſe that thote comiſſures,
often rimes doe deceave the light of the Chy- The Chy
rurgianc in his iudgemente, and that as tou- = ;
chinge the ſlimilitude, vyhich the commilTu- ly be dc-
res, are participarige vvith the fractures: And fc
vvearctonote,thatin ſome perions, the tu-
tures have no naturall fituatione , or place, Afuture,
but rothe contrarye vve muſt alſo note, vvhe. Pon
ther that ther be any dilaceratione one the che iov-.
frature,or nor: for it might chaunce, that the ninge to-
naturall ſimilitude ofa future, might vyel be $<*1<* 0!
a rent ordilaceratione, vyhich is not loc caty- _ gs _
lye to be perceaved, & knovvne, becaute that ad.
a ſuture conlideringe her nature is ynſmothe
and rugged, cvenasadilaceratione is vvonte
to be. V Vhertore Hzppoerates,acknovyledgeth _
to have binne deceaved, in the perion of An- ! ; ky ens
tonomus, of Omilos, vvhoe beinge throvvne bnne dc
vvitha ſtone in the middeſt of his forcheade, ccaved.
anda boute the ſutures,died yvithin the (pace
of fifteenc dayecs therafrer , becautc that he
vyas not trepayned, and becaulealioe the fo-
reſayed Hippocrates , thought and iudged the
ſkull not to be dilaniated or torne. V V herto-
re,itis the ſurcſ{t,and certayncit vvay, & prin.
cipallye, vvhen by,or in the vvounde ther are
theſe forcſayed accidentes, vvith agues, that as
then vvedenudatre,and vncover the iculle,be-
cauſe the ſutures ſometimes have no certay-
ne place, for ſometimes vve etpyc the, in the
middeſt of anye bone, vyhich a man vvoulde
thincke to be a trafture or dilaccratione : it
mightalſoe chaiice that the foreſayed lutures,
or the next partes, vntothe lame , might be T1. mm.
dilaccratedand torne, thc vy hich vve can not res of the
certaynlye eſpyec, vvithout makinge denuda- —
tione of the Cranium, andto our fight vncover EEE
it:vyhen as therfore vve doubt, vvherher ther
be a fracture or fiſſure, and can not certaynlye
elpycit, becauſe of the {mallencs of the vvou-
de,as then ther iS lefle daunger , andthe cure
therof happencth lo much the ſooner , & the
\urer, vvhenas therin vve make a retonabile
vvydeapertione, rather then beinge therot
vncertavne, vvcasvertprocecde viithiuch a
ſmall apertionc,in curinge of the ſame vvou-
de, becauſe that it is vvholye impoſſ:ble,o: her
vvyle to knovve anve certayntve , of that

\$* vyhich

als a.

The Frenche Chirurgerye

vyhich thervnder lyerh hidden , as vve eaſylye
ſec in the greate apertions, vyhich therafter,
may veryecaſilye be curcd. Itſometimes alſoc
chaunceth, that theCranium beinge ſufhciftlye
denudated rovynde about the fiſſure, yet for
all that vvith the tacture, or vvith the ſcarchin-

gc iron, or vvith the eyes, vvc can not by anye |

meanes poſlible eſpye the fiſſure orrente, be-

cauſe it isas ſubtile and fine,as a hayre, vyher-

a YE foreitisallſoccalledthe hayrye fiſſure, or ret:
ſpyc the tothe vvhich pu rpoſe vve muſt above on the
hayrye ſculleor bone, vvypealittle incke, oranye 0-
ure. ther blacke medicamenre, becauſe that the ni-
greditye or blacknes, may imprintin the fiſſu-

re ſome ligne of his blackenes , if ſoc be that

ther be anye, vvhich bare bone, vve muſte ther

after ſcrape vvithan exfoliative trepane : For

that vvhich is burſt or rent, notvvithſtandinge
retayneth his blackenes , by the vvhich mea-

nes, vve ſhallbe certifyed of the largenes ther

of and profunditye of the ſame,

23 Of the counterfiſſure,in the bones of the heade.
Chap.2.

) He auncient DoQours, and all
» ſocccrtayne profeſſors of our
\ time, make mentione,that vvec

ll 5 rc or fiſlure in the ſculle , as if
RASrDEL vve had receaved a blovvein
the occipitialle parte of the heade and had rhe
reare or fiſſure in the antereore parte of the ſa-

me and ther revcalcdit clic, orin anye other

parte of the headealſo, vvheras the blovvedid

5; e noralight. The conicQture vvhich vve ought
4 ks; to have of a counter fiſſure, is, that vve lurelye
tiſuce. knovve vyhether the patient vveare roughlye
ſtroken, and vyhether after the blovve, anye

bad accid&tes have follovved, as if through the

blovve hefell to the grovvnde, hath therlien
impotente, hath vomited Cholera, is full ofa-

gues, although it ſoc be that yve can finde noe

fiſſure in theCraniwm in the place of the vvoun-

de,and ther vvher the (cull is denudated. VVe
muſtalſoc farther note, andobſerve, vvether

the patient often times lay his hande, on anye

other place of his heade, then vyher the yvoun

de is, omplayninge of anye payne or heavines

of his heade : vve muſt one that place vvhich

vve ſuſpete applye ſome Cephalicke plaſter,

vyhich vrhen vve remove, the ſame, vve muſt

then note, vyhether anye one certayne place

of the applicatiance , be moyſter then in ano-

ther place,orclsany vvher vnder the payſter,

the ſkinne be ſof tened anda little more ſvvol-
lene,then the other , vvhich findinge itto be

ſoc, itis thT a ſigne, that in the ſculle ther muſt

necdes bea fiflure, & that it is neceflarye, there

7X9 ſomtimes finde a counter tea-.

> ———

and in that place to denudate the Cranimm : for
ſomtimes vve finde the bone ther to be brokt:
The aunciente Chirurgians have bey onde all Opinio-
this yvritten, that although vve have inſcided Þ* © the
the (kinne , vvithour anye reaſon or occaſio- profelſore
ne, it caſylyc and lightlye vvilbe agayne.cured- rouchin-
and if ſoe be that the ſculle be dilaniated & tor- 8©/Piciti-
ne, and vve havinge forgot to detete & denu-
dare the ſame ther immediatlye follovveth a
great imflammatione, vvhich veryec diffcuttlye
can be cured. Bur las yet coulde never attayne
to the knoyvledge of ſuch a frafture, nether can
I perfe&lye adhibite any credite thervnto that
ther can by anye meancs chaunce to be ſuch
fiſſures {hurt vp, andcloſed or ioynecd on vvith
the other and ſoe grovyne together , or beinge
miſſinge of the broken bone vnto that, vvhich
findeth ir ſelfe in the frafture of the other ſyde,
right over agaynſt it.I have ſeene, that vvith the
{hott ofa gunne, that the firſt rable vvas vnhur
te, andyet not vvithſtandinge the ſeconde vvas
cruſhedand broken, & vyhen I perccaved that
the patient, had gotten manye bad accidentes,
namelye,that throughe the blovve he fell to the
grovvnde, had yvomitred, forth at his noſe voy-
ded bloode, vvas vvholyec abaſ hed feelinge pay-
ne aboutthe vvoun de , havingealſocan ague:
and fearinge leaſt the paticnt might have dyed, I
trepaned him, vyheras vyhen I had pearced the ”
firite table I founde, that the ſeconde vvas burſt,
yea and that reaſonable vvyde : vvherfore ther-
after I vyas vrged to belceve that the counter
tcare or fiſſure , in the other ſyde of the (culle, <4
vvhich by the aunciente profeſſors yyas diſcri-
bed, muſt be vnderſtoode in the ſame bone, for
the firſtrable, is rightagaynſt the ſeconde ſitua-
ted. It mightralſoe chaunce thatnether the firſt
table nor the ſeconde \houlde be hurre, or bro-
ken, yernotvvithſtanding the Dyploe, that is the a, gc.
porolitye vyhich is beryvecne them bothe, vvas vationeof
loe plettered & cruſhed , that the little vaynes, *bc au-
vvhervvith it vyas, repleniſhed, vvearc broke & ©
burſt and avoyded bloode from them vvhich in
time corrupteth and rotteth and alſoc corrup-
teth the bone internallye, the vyhich in ſome ti-
me thereafter yve perccave, for the bone vvax-
eth leadithe coloured, on the yvhich the Chi-
rurgiane muſt yvell note.
Ir mayallſoc chauncec, that the ſculle, be ſafe
and ſounde , yet throughe the violence of the
blovve,anyec vayncs vyhich contayne that mem
brane vyhich is calledDwra marer,as vvell of tho- V*Y"e*

, vyhich
ſe vvhich paſſe throughe the ſutures as througe þurtt vvit
anyc of the other ſmalle holcs internallye are hinthe
ſituated vvith in the braynes, might come to bre 2993"65
ake , out of the vyhich ther vvill iſſuc bloode,
vvhich therafter cogcaleth and vvith great pav-
nechangethin to matter, vvith manye other te-
arfull accidents. In this difleaſc theris all vvaves
payncaboutthat vayne vyhich is burſt , and if

{OC

bſcr-
neof
21-

of I aqves Gvillemean,

ſoc be yve chaunce to open in this place the
ſkinne, thc bone there vnder hath a pale and
deade Coloure : but it isadifhcult matter to
iudge,and knovve it, vyherfore conlideringe
oftcn times of the impoſlibilitye,todoc anye
remedve or curc therine & by vvant of knovy
ledge, death ſuddaynlye enfueth theron. The
vyhich Hippocrates reciteth of the daughter of
Nerius, vyhich vyas but 20.ycarcs oulde vvho

thedaug- in playinge beinge ſmitten on the bone Breg-
heer of a, vvith an outitreched arme, of onc of her
— playfellovves, ſtrayghtvvaycs vvithour anye
through reſpiringeis, fallen intoa Yerizginem vvho as

Hippocra {oone as ſhe vvas brought into the houſe is
tes,

fallen into a violent ague, vvith payncin the
heade,and rednes of face : & one the icaventh
day ſhe voydeda goblerfulle of reddiſhe mat-
ter filthylye ſtinckinge out of her right care,
by the vvhich the ſeemed to be fomevvhar
lightedand caſyed but vvhen the ague a gay-
ne returned ynto her, { he vvas then vyholye
abaſhed , and allmoſt lay vvithour anye rea-
ſon or vnderſtandinge, vvith Spaſmo , in her
right cheekc, or ſyde of the face, vvithout be-
inge able to ſpcake vvherone the foreſayed
Spaſmus hath poſſeſſed the vvhole bodye,
vvith ſhakinge, & quiveringe, vvith the tonge
ticde,and vvith irremoveableeyecs, and dyed
on the ninthe daye.

3 What Fraftures 'h the heade we onght to
zre pane and Wher fore Wwe muſl tre-
pane them.Chap.z.

Lrhoughe that in all fratures
and fiſſures of the ſculle, the
yoghe Chyrurgians take ther
lightor refuge ſtrayght vnto
trepaninge:it is notvvithſta-
dinge better, thatin the firſte
vve trye, vvith playſters, and vvith manye 0-
ther rcmedyes,and inventions therto conſti-
tuted, and ordayned : conſideringe one the
conſequence and importice,of the forclayed
Fracture, vvhcther, it be needfull or neceſla-
ryc,to take avvay anye parcell or peece of bo-
ne,conlideringe the excellentic,and vvorthi-
nes of the brayncs, vyhich are ſuch vvorthye
partes: vvherfore vyc muſt yyiſelye and dilli-
gentlye conſider and marke , vyhether the

OO > I ——_

—

_— ——

vvoundegivea goodedigeſtione forth of her, |
and purificth her ſelfe, and vyhether there be-

ginncin the vvounde to grovve, anye redde
pomgronatcKernell vviſe flet he,or vvhether
the ague vvhich conſideringe the ſuppuratio
nc in the vvounde, be abated oraſvvaged, or
hath left him vyhich ſoc in tollerablye yexed

——_

— _-

——————

Fol.1o.

and tormented him , vyhether his apetite be

agayne reſtorede , and vyhether the paticnt
realonablye taketi reſt or fleepe , vvithour
havingeanye troubleſome accidente chaun-

ce vnto him , vvherbye yve might ſulpette,

that the membrane called Dura mater , Orthe
braynes, are moleſted, affected, or ſutfer any

payne, cther throughea ſplinter, or chroughe

anye bloode, or throughe anye matter, vvhich

might be come and lituated it (elfe therone:

And the matter luckylye & ominouslye pro- The
cedinge, vve may continue the tore laycd re- ex
medyes, and the vic therofe, becautc that ſo- |<<terhe:,

| metimes by this meanes the fiſſures, are reple {© '&-

a — — —_——_ cm———_ <—_—

—

—

1 O— _—

LHMTesS,

nifhed & filled vp vvith ſome obdurate ſub-
itanceand callolitye, vyhich agreeth and may
be likened ynto the callolityc or cicatricc of
other vones.

Sometimes onlye the firſt table of the (cul- Diploe is
le breaketh and renteth yvithour pearcinge the poroii
or penctratige the Diploec : Some times alltoc Ye
is the forc ſayeddiploe cruſhed plettered, and {1.60
broken & yet the (cconde.tablt tate and illate tables.
or vnburte , vyhertorc as then it is nvt necel-
ſarye todetecte and make bare or totrepane
the membranc Dura Mater, yea and a5 then vve
may perceave the manner as it yvcare of a
ſplinter , of the (culle therin lyinge erected.
Thefracureat ſometimes alloc is toc greate,
vvith ſucha huge quantitye of maſſacred, and
cruſhed bones, vvhich lyc halfe, and halte fc-
parated , orels for the moſt parte cleane bea-
ten theroute, that vve may playnlyc vvithour
eyes behoulde the membrane Dura mater, toc
that the bloode vyhich driveth thcrone, may
verye caſylyc flo vve out of the vvounde , in
like forte allſoe may the remedies therin caly
ly be applyed: To the vvhich tractures, the tre
pancis nothige bchoovinge or nedetull: And
if ſo be inanye ſorte you perccave anye | kil- -
fers or ſplinters, by the vvhich that membra-
ne might be pricked, or cruf hed, you mult ta-
ke them veryccalylye therour.

It happeneth alſoc ſome times, not onlye +, _
in the little children butin aged poeple, alloe 1; of the
in vvho me the bonesarc loc thinne and ten- yonge
der , that vvith anye rude blovve they are in- C—_
vvardlye benre, (as vve ſecatinne or a coyper DD
potte to be bruſed) yvithout the cxternall lye.
ſkinne beinge anye vyhere externally hurte:

To the vvhich diſcaic of the bones, vve muſt
onlye take our refuge & flight vnto our ex-
tractive, & dravvinge plaſters , vvherbye that
thedepreſſede bone , might by anve meanes
be elevarcd, and heavedagayncinto his right
placc.
Hippocrates , comprehendethe in verye
Shorte vvordes in his blooke De Locts 772 hore The opi-
ne,the vvhole curc of the fractures of the (cul- yove of
ledemonſtratinge thote vnto vs vyhich vve de rom,
C 1) ought

cm

- —_— Coed ew at >, _— F
x
- _ v4 ww.” 4 * oo "oY
- *. —— » a - : ww |
6 — -S Mg > þ4

a » aw Be... Oo. ot = _

ee arm dl

The Frenche Chirurgerye

oughtrotrepane, or not. As farre forthe ther
TheoÞi- fore (ſayeth he) as if the bone be broken, or
Hippocra maſſacred, ther isas the noe perrille, or daun-
resr0u- geratall, & vvith moyſteninge medicamen-
cpunge res muſt it be curedand helped, vvhich quiet,
ringe of and takea vvay the inflammatione, & ſoften
fractures. and mollyfve the bone, becauſe that vvithout
payne vve might rake the broke peeces of bo-
netherout:but inſfomuch as the bone onlye
chaſicede to be burſt, it is then verye daunge-

rous, & muſt of neceſlitye be trepaned, becau-

ſe that the matter vvhich diſtilleth throughe

the rente, or fiſſure one the membrane, doe

not in anye ſorte corrupte and rott , the fore

ved ſubiacent,or ſubietede membranc: for

as vvithout havinge anye iſſue agayne, { hee

come to (incke throughe thisanguſtnes, and
narrovvnes, as then ſhe cauſethan ague, and
ſomtrimes allſoc diſtemperatenes of minde:
vvherfore vve muſt geedes trepane, and make

a large apertione becauſe that the ſanious

matter may not onlyc havean entrance , but

an iſſue alſoe: & yvhen as vve doe notin anye

forte ſuſpette that the membrane Dura mater,
ſufferethe any thinghe, or is in any ſorte crul-

hed,or pricked vvith anye peeces of the broke

boncs, & that ther is noe matter runne ther-

one, by the vvhich ſhe might be troubled, ir

isnot thE neceſlarve that vve trepane, or open

! Es the (culle. The Chyrurgiane is conſtrayned to
occatione VIE the trepane for divers occalions, and take
vvcought therout the broken bones : Firſtofall to give
« et. iſſue and paſſage to the congealed or not
; congcaled bloode, vvhich vvas ſuncke on the
membrane Dura mater, throughe the effluxio-

neof thoſe vaynes, vvhich areas vvell ſituated

inthe fleſhe of the heade as betvvixt both the
tables, & ynder the ſculle, vvhich as there doe

— -— —_ =

reſtravne that membrane faſtvnto the ſculle.

Secundaryly, becauſe the matter, vyhich con- |

tinuallye ſoacketh throughe the fiſſure on the
membrane doe not chaunce to ſpoyle, or in-
flame the ſame, becauſe that throughe ſuchan
anguſte paſſage ſhe can have noe iſſue , the
vvhichin the end might be the cauſe of the pa
ticnt his death. Thirdlyc, todravve forthe the
broke bones & ſplinters, through the vvhich
the forclayed membrane might in anye forte
be pricked or lye cruſ hed:

0 ——

0 __——— —_—

Fourthlyc,accordinge as the vvorke requvi-.

reth, roapplye convenient and neceſlarye re-
medyes into the vvounde: Fifthlye, becauſe it

might ſerve in ſteede of a repercuſſive, & de- |

fenlive ligature of inflammations, vvhich o-

| bs hea- rhervvyle may be vicd in all other broke par-
e may "mA

norco. <SandioynQtes, exceptinge onlye the heade,
itnctlye
be boven & rovvndnes ther of can not by anye meanes
de,& the roflible therone be effected : for a ligature
reaſon E/ 4
vvby. Vyhich muſtbeſtifflye & faſt yvolide, rovyn-

becauſe that this, conſideringe the rotunditye |

Oo — _

de aboute the frafture, to przſerve and keepe
the broken bones one by the other, might in
the heade be the cauſe of paye, and inflamma-
tione , it yvoulde alſoc hinder the agilitye of
the arteryes, and the aſcendinghe of the fuli-
ginous excrementes, vyhich throughe the ſu-

; tures of the ſculle , doe evaporate:it vvoulde

alſoe repelle the externall bloode of the vvo
de, & ſende it trovvarde the braynes, & mem-

| branes therof ,our of the vyyhich might enfue
verye bad accidentes.

—

Ho'Wv longe ve ought to tarrye! , before We beginne to
trepane,and of the places Which in trepanin-
ge We muſt chuſe, or eſcheve.

Chap. £#-

8 Ippocrates chargeth the Chyrur
giane, in his booke concernin VPmone

A gc the yvoundes of the heade, 0.ctt”

vvhen as in the firſt he hath

binnetheriito fetched or ſent-

for , havinge together noted,

the frature of the bone, vvith the moleſtinge

and troubleſome accidentes therof, that vvith

outanvyelongerdelaye , he ſhall vvithin the

ſpace of thre dayes beginne to trepane , and

eſpeciallye the yvether beinge hotte , therby

to prevent the inflammatione : but not to the

membrane, leaſt f he lye bare, and ſoc the cx-

ternall ayre chaſice todiſtemper her,and cau-

ſe therine ſome corruptione and rottinge, lc-

aſt alſo that in ſo doinge vve might chaunce

| toteare the membrane, in boaringe througi

the (culle vvhichcleaveth vnto the ſame , or
anve of the other faſteninges of the membra-
ne : orinplacinge of the inſtrument theron,
{ he might therby be hurt or vvonded. V Vher
fore, (as he ſaycth) itis farre better, vvhen as
theris bura lictle more bone to pearce or bo-
are throughe, & the barcde bone beginneth
to ſtirrc it ſelfe, that as then vvedeſiſte, vnrill
ſuch timeas ir of him ſclfe falleth out. But TheChy-
if ſoc be that the Chyrurgian hath not in the Furgiane
firſt binne therar preſent, &the patient hath 3{9me®
of ſome idiote or ignorit fellovy binnedrel- jate ſent
ſed, vvhich hath not knovve the frature, and for.
becauſe ther vvas noe apertione miade in the
bone, rogiveayre or lighr., vnto the matter,
ther are chaunced thervnto (as is a fore reci-
ted)greateinflammations, and manye other
fearfull accidenres : vve muſt then (ifit be in
the ſummer , and the purrifattione one the
ſuddayne revealc it (clfe) vvithin the ſeaventh
day trepane the pati&r, before the braynes are
yvholyc infected , and chaunce to mortifyc:

Pur

ne
C3 *

(1-

Opinio-
nec of A-
VICENNMA,

Whar pla
ccs wn

h-are the
tr-panin-
ge.

of Iaqves Givillemeau.

But in the vvinter vvhenas the corruptione
procedeth and gocth ſomyvhat tarder oriloer
forvyarde, yve muſt then effect it vvithin 14
dayes : becauſe theledayes beinge paſled,as
vvel conſideringe the imbicillitye of his for-
ces,a5 the grearncs of the diſleaſe is incurable,
alrhough as then vve trepane the cull , iris
then to late, vvherfore in noe vvyle mult yvc
cftc@ ordoc it.

_Avicenna v Vil have that vve ſtrayght vva-
yes beginne to trepane, anditſo be yve mult
needes deferre it, that vve {houlde deter-
re it noe longer then tvvo or rhree dayes at
the moſt, and that eſpeciallye vvhen as the D#-

— _——

ee ne tNe=——-——— = me

ra mater is pricked orlyeth crut hed, otanye

broken bones.

Celſus fayeth,that he vvhich tarricth anyc
longer from trepaninge then three dayes, arc
not to be excuſed, becauſe that ſuch delay cau-
ſeth a concurſione of humors , on the Dura
mater vvhich findinge noe apertione , orit-
ſue,diſordereth the forclayed membrane,and
ſpoyleth it , out of the vvhich neccllarylyc
muſt fooyv greate inflammationes.

But our vic and practiſe in thele dayes, is
that as ſoone as vve are ſent for, vyyhether it be
in timeor out of time, carlye or late, and vve
eſpye,cther through ſearching vvith our, tin-
gers, through the ſearchinge iron, or by our
light, that the (cull is broken, rente, or torne,
and that the Dura mater ſuffereth anye thinge,
vve out of hande proceede vvith the operati-
one,and that ſoc much the ſooner , vyhen as
yvenote , thatther accidentes demonſtrate
themſelves , yvithouranye longer dclay and
eſpeciallyc,in debile zgrirudinous,or corpu-

— OOO ———————

w REN m—n——_

— -

lent bodycs, becauſe in them ther are revea- |

led farre vvorſe accidentes then in others,
wyherforc to tarrye or deferre the trepaninge
anye longer it vyould be {malle commoditye
vnto vs, but better thataltogether vve deter-
red it.

Andalthoughe the Chyrurgiane vvearc
not in the firſt ſent tor, and that the teaventh
day of the ſommer , andthe 14 ofthe vvin-
ter vycare pretermitted.and let paſle, he i hall
not therfore refuſe todoe his vtter moſt ende
voure , VVith trepaninge , foritis yet better
ſomyvhattolate them never , conlideringe

— -—

OO — —_

the goode hope vvhich vve muſt have of doin |

gc the patient anye good, helpe, and comftor-
re, vvhich othervvyle vvithourt trepaninge of

—

the broken bone, or the elevatione of the (a- |

me, can by noe meancs be done, vyhich vve |

onlyc vnderſtande of thole, vyhich arc not
clcanc vvithout hope.

Scinge therfore that vve have the time
daylimired vnto vs, in the vvhich vvc ougt to
trepane, vve muſt c6lider vyhat places, or par-
tcs of the ſculle are able toabide the trepanin-

ge, and yvhich not. VVe muſt firſt of all ther
tore conlider, that the bones vvhich vvholve
arc in peeces, or beinge cruſhed, or at the leaſt
a great parte of the ſame beinge teparated,can
not calylye be trepaned , becauſe he might
chaunce tocruſhe the trepane one the mem-
branes, hovve catylye ſoever he leane theron.
V Ve mulſtalloc note, that yve doe not chaun-
cc to ſfett the trepane one any ſuture, becaulc
in ſoc doinge, vveſhould vvith great payne,
and vvith great bloode { heddinge , cut of the
Vaynes, arteryecs , and ſynnuith filamentes,
vyhich havea vnityceand faſteninge, vvith the
Pertcranium , and the membrane Dara mater,
vyhich have the free paſſage throughe the fo-
relayed futures,to retaynethe Dura Mater and
adminiſterlife, andnurture vnto her. Bur
if it foe chauncecd that the frature chaunced
to be one the ſuture, vve muſt then applye the
trepane,on both the ſydes of the future, vvith
outin the leaſt rouchinge of her: for if ſoc be
vvetrepane but on the one (yde onlye and
not at the other ſyde of the ſuture it vvcare
then impoſſible that the bloode or matter,
{ hould have at that hole anyc iſſue or paſſage,
the membrane beinge betyvixt them both:
nether may vveirepane on the fonranclle, or
openinge of the heade in yonge Children, be-
caute that ther tendere imbicillitye as yet is
notable to ſuffer and abyde the trepane. The
inferior, or deſcending partes of the (culle,arc
notconvenient or fitt to be trepancd , becau-
le the braynes throughe ther ponderoulſnes,
might chaiice to fincke therout, or the mem-
branes throughe the apertione might chaun-
cetobeextruded : Burit toc be yve vyeare
vrged ther vnto , vve mult make buta verye

ſ{malle apertione.
VVeought innoe vyyle to trepane the
temples of the heade , becauſe vve thoulde
not hurre the remporalle muſcle, contiderin-
gedivers ſynnues,arteryesand vayncs, vvhich
are therin divided and entermingled throu-
ghe the vvhich there might be cauted ro grea-
te payne, fluxione of bloode,agues, Sp. ſms,
and the patient might chaunce rodye ; Bce-
cauſe that ther vnder the bone called 0s perro-
ſam is (ituated, and that conlideringe, the mo-
vingeand ſtirringe inthe remporall mulcle,
vyvhich happeneth in ſpeakinge or catinge,
the vvolide might be farre more daungerous,
and Hippocrates alloe ſayeth,thatthc inſcilione
ot the fame muſcle, might be cauic of a grea-
te , and villanouse diſtortionc out ot the
vyhich one the fame ([vde , a Paral/t/;s on the
other acovultione of (iynnues might chaun-
ce to enſue, Nether ought vve to trepa-
ne that parte of the (culle , alinlc above the
ere brouyves , becauſe in this place ther isa
greate concavitve,tylle of ayrc,and vyhite (11-
my

Fol.1t.

We may '
right
yvell rre-

pane 0
the ds)
ofthe tu-'
ture.

We may
nor (LC pds
nc the
temples
ot the hc«
adCc.

The Frenche Chirurgerye

mye, humiditye,of nature, in that place c6ſti-

tuted & ordayned,to pzparetheayre, vvhich |

aſcedeth vp to the braynes, the vvhich indeed
js vyorthye to be knoyvne & obſerved, becau
ſe that the Chyrurgiane , .might notin anye
ſort be dec:aved, takinge the foreſayed conca-
vitve to be,adepreſſione of the bone, vvhich
needes muſt be trepaned:& ifit ſo chaunced,
thatanyc of theſe forcſayed partes yveare bro
ke,asarc the temples of the heade, vve ought
then toapplye the trepane, alittle above the
Wemay tEporall muſcle:if ſoe be that the part or por-
nertrepa- tione of the ſcullc , be broke a little above the
wage eycbrovves, vve muſt as then make choyle of
verheey- that parte of bone , yvhich boundeth on the
ebroyvcs. fragure,as abovein the foorcheade:it is right
true, thatif ſo be the foreſayed bones, vycare
depreſſed, and cruſhed, thatas thE yve ought
roclevate them, and if they be cleane ſepara-
ted yveas then muſt plucke them outin like
ſorteas yve muſtdoc in the ſutures.

Yet conlideringe all this, vvcare oftEtimes
compelled & conitrayned , to trepane in all
oft. Placesofthe (cull: The vyhich a renoumned,
hcade &cxperte Chyrurgiane called Andreas a cru-
may l6- ce, confeſſeth often times to have done, vvith-
Meumcs outanyedaunger. And Idaremy lelfe bould-
- Ut lyc affirme, that Lin the yeares,of 1 591-&1 592

have my ſelfe trepancd, and have ſeene others
trepane,in the foreſaycd prohibitcd places,as
one the ſutures , andone the remples of the
heade. Notvvitſtandinge I vvould councell
the yonge Chyrurgiane, that in asjmuch as is
polſlible he ayoyde & eſchevve, the trepanin-
gc of theſe places, but rather make choyle of
anye other parte, vvhich parte, may bea little
deſcendinge, becauſe havinge made the aper-
tione, the bloode, the matter, & all impuritye
might therout have ther free paſſage. Con-
{ideringein thedayes vvhich goec before and
vvhich conſcqventlye foliovve after the tre-
paninge,on the {ingularirye, and vyorthines
of tvoic partes, vve muſt commaunde the aft-
litedand vvounded perione,thatin all thin-
ges he vvilbe ſober, andoblervea good diet,
both in ctinge anddrinckinge , abſtayninge
eſpcciallye from vvine, and phlebotomye, as
muchas is need full, becauſe that the humors,
{houlde notconcurre ynto the y voided par-
te,and thatalſoc yve keepe his heade vvarme,
vvith light coveringes of the heade , becauſe
coulde isa greate enymye vnto the braynes &
all iynuiſ he partes.

The ſutu-
icS and
temples

———

93 What geantitye, or What bignes of the bo-
ne in trepaninge We muſt take
ont Chap. s.

Bc <A

E muſt in the firſte , accordin- =
£& ge vnto the quantirye, and bi- ay
W420 gnes of the bone vve purpole apertione
o/c to take out make an apertio- Muſtbe |
$9) inthe ſkinne &denudate the vv.
>= forclayed ſculle : Therfore
if ſo be therbe noe vvounde noranycaper-
tione , and the ſkinneexternallyc as yet vn-
hurte , this ſhall as the be the convenienteſt
pertione, yVhich vvith handes may be made,
vhich vve { hall make vvith tvvo croſſeyyyle
overthyyarte inſciſiones , in ſuch a forme as
thisin the margine,demonſtrateth vato you,
orels in forme of a borghondiane croſle,
vvhich in his middle przſenteth four cor.
ners. Inſfomuch therfore, as if the hurte,
have made a vyounde,andinſcilione, in the
{kinne, vve muſt ſuffiſe our ſelves thervvith,
vvith ſuchas it is, if ſoc be {ſhe be therynto fir
and apt, making an other tranſverſall inſciſi-
one, namelye overthyvarte the vvounde, be-
cauſe theſe rvyoas then may preſent one. Bur
if ſoc be, the vyounde be yeryc ample, &lar-
ge, vve muſt as then onlye cutt the ſkinne one
the one {yde, begininge the ſame in the midd-
leof the vvounde , becauſe ſoc the vvounde
may preſent this letter T, inthe yvhich
vvilbe but ryvo corners.

Theſe foreſayed inſcifions,are cenvenien- —
teſt done for the inflammations. Burtif ſoe Ihe inſci
be yve perceave the vvounde to be large c- —_ be
noughe to give place ynto the trepane, ora- done be.
nye other inſtrumente, vyhatſocver , vyher- fo*< the
vvith vve might endeyoure and ſecke to cle- =. wat
vate,and reſtore agayn the broken, or depre(-
ſed bones, in ſo muchas if ther be anye, vve
mutt thervvith content our ſelves , exſten-
dinge the foreſayed yvounde at the firſt vvith
linte, & yvith little plumaceoles, therof being
made and therin crul hed,on allſydes, & cor-
ners of the yvounde,

But in vvhat ſorte or faſhone ſocyer, vve
make our inſciſione in the ſkitne, vve mutt
allvvayes note that vve doe not ſuffer anye
portione of the Pericranium to remayne one
the ſculle : vyhich vnder the ſkinne,decketh
and covereth the vyhole ſculle : becauſe if ſo
be the foreſayed membrane Pericranium, vvea-
re per happes, torne vvith the tecth of the tre-
pane, might be the cauſe of greate inflamma-
rione, payne,and agues, vvher fore it is better
that vvecleane,and vvholyc ſeparate it from
the ſculle, vvhich beinge done, vve muſt then
damme & ſtoppe vp the vvounde vvith vvhi-
te linte, by the vvhich the next day cnſuinge
vve { hall inde the vvounde vvide open, & if
as yet ther yveare anye parcell of the i kinne,
orlippeof the vvound, vyhich might be a hin
derancevnto thetrepane , thevvhichin the
turninge about might chaſice to touche, vve
{hal

X

gre

one

' Whi wn

of Iaqves Gvillemeau,

f hall vvith the ſciſſors clippe it of , vvithout
deferringe it vntill the next day. ,

VVhen as vve havinge conlidered, one the
place vvher to ſet the trepane, vve muſt then
note, hoyv much, & hovve broade, vve ought

What qvi to boare the (culle. Firſt ofall therfore, vve
utyeof muſt vvholye take avvayeall the broken and
cruſhed bones, vvhich vvholye arc ſeparated
from the ſoyvnde parte , andalſoe from the
Pericranium, conlideringe that they can never
thervvith be vnired & ioyned agayn. But vvhe
as the broken bone is depreſſed, & anye parte
therofas yet theron vveare faſtened, vvith the
ſovynde partes therof , vyhich cruſ hed the
membranes of the braynes, or any acuityc of
the ſame, as yet ſticke theri, yvve muſt not ther-
for forall that cutirt of, and vyholye take ita-
vvaye.But muſt by all meanes endevourc,ca-

bone vve
ought to
trepancs

ſyly to lifr &eclevate the ſame, & ſituate ir next |

vnto the borderinge bones, cxemptinge only
outof the ſame the ſmall peeces, vyhich might
hurte the membrane, & pricke it, becauſe by
this curinge & remedye, the bones agayne re-
nevve, vnite, and ioyne themſelves together
vvith the circumiacent bones. In ſoc much as
if ther be anye more rentes or fiſſures before

hides, vvhich fro the one ſyde, diſperſe them- |

ſelves this vvay or that vvay, vve ſhall not nee
de to purſue the ynto theire end, but vve ſhall
onlye take ſome parte therof avyay , becauſe
moiſt commonlye they ioyne, & faulder as it
vveare togetheragayne, the vyhich isa farre
more better opercle for the braynes, the that
nevvec incarnated fleſhe, vyhich after the tre-
paninge grovveth therin, vyhere vve have ta-
ken the vvhole broken bone therour, vvher-

NC

—

fore vve muſt take noe bones therout , then

VVith greate diſcretione , & then asfevve as is
The ſcull poſli ble, ſoc that they doe nor pricke, & trou-

isthe na- ble the membrane, vvith ther acuitye & edge,
rucall 0- ,

percle, ©

- & that ther remayne diſtance enoughe, to gi-

coverto Ve paſſage vnto the bloode , and the matter |

_ as vyel the membrane as the braynes, ſhalbe

better defended, through the bone vyhich as
yet they Keepe, vvhich is ther naturall defece,
aSif vve quite &cleane toke it avvay, through

vvhich diſcoveringe , the forclayed braynes

might be hurte or hindered,
ae commeth to be broken, & rente vnto the Dz-
diſtance P/oe, yet for all that the ſecode table remaynin-
bervvene ge vntouched, vvherfore it is not thE needfull
— toapplyec the yvhol trepane therone, to boare

the bone quite out , butin this caſe vve muſt
6lye vic the exfoliative trepane, therby ro ad-
miniſter anye paſſage or apertione vr.to the
bloode, vvhich, beinge ſuncke betvve the fo-
reſayed Diploe, through continuance of time
beginninge to corrupte, might in the ſame ti-

ought on
lye to vie
the exfo-
lative tre
pane.

the bray= yyhich is therone gatherede , rodeparte, for |

It chaunceth often times that the firſt table |

-—

Fol.12.

me chaunge &aulter the ſeconde table alſo,
and cauſe anye accidentes theroftocnſue. It
lo be in the yyounde yve perceave any ſplin-
ter, vyhich cxalteth it ſelte vvith ſome highe
eminence, vve muſt not be ſoe curious, to ta-
ke the ſame immediatlye a vyaye, or cut it our

| ſeige that it isanye vyher faſtened, but rather

commitit vnto the yvorke of nature , vvhich

| vvildeminit he & ſeparate noe more therofe,

| then ſhalbe necetlarye & neede full , becaute

{heis vviteand prudent inall her yvorkes. Ir

mightalſoe chaunce that the bone, not bein-

ge broken or rente hath onlyc binne above
contunded, hurte,or externallye denudatede,
vyhich beige ſoc, vve muſt onlye above (cra-
pc it cyen, and grate it,

3 Of the miner & methode hoe to trepare Well,
and artificiallye.Chap.s.

SZ Oc manycand divers [pecies
PK & formes of fractures, as there
& arc cven ſoc arc ther divers
$9 meanes vyher by vve may ſuc
courethe vyounded paticnt.
=a VV hcnasthcrforc the fractu-
re, is nothinge els, then a right runninge fil-
ſure, yve muſt then conſider vyhether it pear-
ce or penetrate throughe both the tables: the
vvhich me may knovve throughe the Ra ſparo-
114,or throughe the exfoliative trepane, vyher
vvith vve mult grate the firſt table, vnto the
Diploe, & if that the forelayed fiſſure, as there hc pace
doth not departe or vanit he out of fight, ne- bervvcen
ther the accidentes deliſt, findinge allioc the _ Re
fore ſayed Diploe plettered crul hed, or broke,
& anye matter vvhich throughe the icconde
tab': commerh to diſtille into this place, it is
as then a {ligne that the forclayed fracture pe-
arceth,vnro the ſeconde table, & ſtrercherh it
ſclfe one the Dura materalloe : vvearcasthen
counceled to applye the vyhole trepane ther- —.
one: & ordinarylye to efteQte this, as 1t is nec- irepane.
defull ro be done, vve muſt cauic the patiCt to
litt, one ſucha manneras the parte vvhichis
broken reqvireth : vve muſt ſtoppe his cares
vvith cotten, & declinc and lay his head one a
companye of pilloyvebeares, vyhich mult be
indifterent harde , & cauſe his head of one or
tyvo men to be helde faſt, becauſche ſtirre it
nether this vvay nor thatvvyay : then vve muſt
cover the lippes of the vyvounde , vvith anye
plaſters ſpreade vppen fine linnen cloth, leaſt
that of the ayre,of the turninge rounde of the
trepanc they might be hurte or vvouded, Al-
this beinge ig ſuch ſorte fineſhed, vve mult (i-
tuate and ſettle, the pertorative trep ane veryc
faſt or ſtedfaſtly,on the brokT bone, on tuch a
place vyheras vve deſire to have the acuitye
or poynt of the trepane lituated, ther to make
a PCr -

Diploe 15

—— — ——
—_— — — I
l 2h
- =
_ - -_ wn = =

The Frenche Chirurgerye

a perforatione, yyhich beinge effefted , vve

muſt therone ſituate the vyhole trepane

vyherof thepoynte, muſte be ſetin the hole

or perforatione, the vvhich before vvas made

vvith the perforative trepane, and ſoc caſilye
turningeir, the bone firſt of all ſhall raccave
thepoyne, & by and by the crovvne, or the

recth of the trepane, vvithoutetherglidinge

this vvay or that vvay,or remove out of ,there
circkle, becauſe of the acuitye or poynte of

the trepane vvhich muſt reſtraygne the trepa-

ne, vvith out flippinge out of his place. There
isacertaync induſtrye in the depreſſione of

the trepane, ſoc that it both turneth rounde,

& pearceth or cutteth alſoe:for if ſo be yve le-

anc tolightlye therone , itthen pearceth and

cutteth litle,or nothige atall:& ifir ſoc chaii-

ccd thatas then vvedepreſlſed is fomvvhar to

hardc,it vvill not then turne rounde, vvher-

fore heerine vve muſte vic a medium betvven

them both, or mediocritye, & lifte it ſome ti-

mes out, to purifye, & bruſhe it, and then an-

noynte it vvith oyle of roſes, becauſe that it

might the betre pearce and enter in. The tre-

pane having novy madea reaſonablve dee-

ped circle , as then vve muſt take avvay the

poynte out of the middle therof, for if it pear-

ccd deeper thE the croyvne or teeth of the tre-

pane, he ſhoulde be ſooner paſſed by or throu

ghe the bone then the trepane vvith his teeth,

by the vyvhich the membrane called Dura Ma-

ter might chaunce to be hurte, theforeſayed

poyntte therfore beinge taken therout , vve

muſt agaync ſettthe trepane in his hole , or

circkle , and markinge that the trepanec hath

Signes to pearced the Diploe , and paſicd therbye , the

Kuoyve Vyhich me may perccave by the blood yyhich

trepane * Vvil iſſue therout, throughe thoſe little vay-
entred in nes yyhich there are openede, vve muſt then
tothcDi- gnniſhe the trepaninge vvith more diſcretio-
P'%* - neandhcedetakinge ther vnto, vnto the con-
cavitye of the ſculle, turninge the foreſayed
trepane verye caſylye & vvylelye, layinge the
left hand yerye lightlye therone, that therbye
vve may the better eſpyC, vyhen that the (cul.
le ſhalbe pearced quite throughe , that vve
doc not inanve ſortc hurt the membrane: be-
cauſe therof might enſue, inflammarione,and
Note thedaiiger ofdeath.Novy to marke this, vve
the forme muſt often times lift vp the trepane, to try the
ef hgure thicknes of the bone, through the vyhich the
| wars trepanc hath paſſed, vyhich vve muſt vvitha
wthe little privette or ſearchertry, or vvitha pro-
ſculle. preinſtrument vyhich heere to fore is onlye
for this intent diſcribed. By vvhich meanes,
vve muſtalſoc note, yvhetheritbe in noe pla
cecleane perced, for althoughe vve rightlye &
xqvallye turne the trepane, it may never the
leſſe happen, that the foreſaycd bone be one
the one ſvde cleane througe , vnto the Dura

Mazer,and one other ſyde not ſoe deepe:vyh8
vve therfore perceave this, vve muſte procee-
de vvith turninge, & depreſle the trepane one
the otherſyde vyhere the boneas yer is not
throughe ſomevyhat more, becauſe the bone
may zqyvallye be pearced, or if it vvil not ſoc
be,vve may then vvith the ſame turne of the
trepane,pearce the bone one the one ſyde , &
denudate the Dura Mater one the other ſyde,
vvhich ſomtimes I have knovvne to be done.
Suchan in zxqvallitye, cometh partlye as yvel
conſideringe the heade, vvhich is rounde, as
concerninge anye concavitycs or furrovves
vvhich are lituatcd in the ſecode table, vy hich
toucheth the Dura mater , vvherfore the bone
isin one place thicker then in an other.

In like forte vye muſt alſoe plante the little
groundedravver in the perforatione , the
vvhich in the firſt vyvas made vvith the poync-
re of the trepane: Or vye muſt, ſtick thatZlewa-
tortum vvhich isat the poyncte of the little fo-
relayed grovyndedravver in that circkle ,
vvhich by the trepane is made , thervvith to
lift outthe little pecece of bone, or make it loo
ſe, by the vyhich vve ſhall caſylyec cſpye , vvhe
ther it yet hould verye faſt, & vvherther it nec-
deanye more to be boared, & if yve ſee that it
hath pearced vnto the Dura mater , vve ſhall |
then vvith the foreſayed Elewarorium, or vvith cs oe
the groundedravvere, vvholye lift it out, vvith ce vve

out breakinge of it or doinge anye violen- vught to
cetherone , becauſe ther throughe vve doe <9
, S OC the perfo
not chaunce to hurte the membranes but gi- rated bo-
ve it rather one turne or tyyo, becauſe that ſoc i.
much the caſyer yve might lift it our,at one ti-
time. This beinge done and the rounde bone
beinge taken therout, vve muſt then ſmoothe
and make playne, the edges of the perforatio-
ne,and grate them,'and take avvay all his acui-
tyc and ruggednes, from him, for if ſoc be the-
re remayneanyec ſmall ſplinter therone or a-
nye other vnevennes , the vvhich not beinge
clenlye taken therof, it might be agreat hinde-
rance unto the membrane : and it ſoc be that
through trepaninge ther chaunced anye of the
poulder of the bone to fall one the membra-
ne, vve muſtendeyour byall meancs to get it
our : If ſobcitis (ufficientto removethe firſt
table, vvithour touchinge of the ſeconde, vve
ſhall not then playne and ſcrape the edges on-
lye of the pearced hole , butallſoe the vyhole
bone, becauſe that therafter vvithourtany trou
ble tothe patient the \ kinne may grovve ther-
over : forifſoe be tharit come to grovve over
the rugged and vnſmooth bone it yvil be agre
at hinderance to the paticnte, andcaufe a nue
payne , becauſe that the fleſhe vvill norbe
ſoc goode,vyhcryvhithe the rugged bone | hal
be covered.

And this is our praQtiſe, and manner of tre- ,q,,,.,
panin-

|

as the Du
ra mater ſituated next vnto the plettered bones, becau-

. cruſhed
oO of that vyhich is depreſleddoyynvvardes have
bones or ſufficient place, &reſtitſclfe one the ſovyn-

plinters. de bone, vvith outin the elevatione to depreſ

of Iaqves Gvillemeau.

paninge ynto the membrane Dara mater , and
vye tore the mannerallſoc hovyvimmediatlye to lifte
the mem {he bone out of the perforatione, althoughe
brane. that Zippocrazes, in his booke of the vyvoundes
of the heade, ſtritlye prohibiterh to boarc the
hole vnto the membrane , and prelentlye to
take it therout, becauſe the extcrnal ayre,ſud-
daynlycalightinge one the ſame, might chait-
cc to hurte the ſame, by the vvhich occatione
ſhe might therafter chaiice to rotte:and more
alſoc if that yve take the bone out of the ſame
the vvhich as yet might be faſtened vvith the
forclayed membrane , vve might chaunce to
rcare the ſame, oranye ſmalle vaynes thcerone
faitencd:or if that vve ſtucke the trepane vnto
the membrane, vve might hurte the tame:it is
therfore the (ureſt vvaye, fayeth he, that vvhe
as the bone isallmoſte cleane throughe , and
beginneth to ſtirre, that vve then delilte, and
tarrye vntill ach time as it of ir ſelte fallech
our: But our trepane vvith the crovvne , or
reeth is ſuch , that vnleſſe the Chyrurgiane
be veryc ignorant , might in anye forte ther-
vvith, hurtc or crul hedoyyne the membra-
ne,
Nue inys V Ve have inverted other formes of trepanes,
ted rrepa- VVhich vve have in this booke alſo ſetdovv-
nes. ne ther forme vyhich vve cal Terrebellum alati,
the vvinged trepane, vvhich raketh noe pce-
ces of bone vvirh it but diminit heth, and con
ſumeth them, vvhervvith by noe meanes vve
may hurte the membrane : there are ſome
vvhich havinge vicd them , finde them farre
ſurer,and cxpediter in ther operationes, then
thoſe vvith the hoode. Bur if ſoc be there be
anye greate maſlacringe of bones, ordepreſ-
linge of the ſame,thE the membrane is there
throughe depreſſed and cruſhed, and isalfoc
ſometimes pricked vvith the ſplinters, of the
broken bone. In theſe tvyvo daungerous mat-
ters, vve muſt helpe,and ſuccoure the paticnt
or vvounded perſone one ſome other ſorte,
& that as ſoone as may be poſlible,in the ex
traſtinge ofthe ſame,if ſo be they be vyholye

Whatvve ſeperated: To vyhich purpoſe, it is oftentimes

ought to neceſlarye to trepane, & cutavvay ſome parte
v0 of the ſovvnde bone, vyhich bordereth and is

ſe that our Elevatorium, might in the elevating

ſe the brokene bonesany more dovynevvar-
des:for as Hippocrates ſayeth, the bones vvhich
arc broken, and depreſſede, can not vvithour
greate daunger be boared or perfotated, be-
cauſe that the depreſſinge of the trepane, or
Flevatory,by anye meanes of them can not be
luffered, It often times happencth that the

——

Fol.1z.

ſeconde table is more depreſſed the the firſt,

vYherfore tothat intent yve muſt let the F/e- py.

warorium paſſe throughe the perforatione of rum 1i5an

the trepane, betvveenc the ſeconde table, and ſtrumer

the membrane Dura mazer, becaule in that ſort ;, _ Y

vve mighe lift vp the broken bones and (plin- vieto life

ters agayne,and take them our if they lay loo- bY

ſeor ſeparated. Andifſo be there vvcare noc "5,

hole, & aboveall this, the place of the fractu- vvound.

re,could by noe meanes luffer, to have therin

madea hole , irtisas then my manner to take

my groyyndedrayvere vvith three fecte or Pct
A... R & 1nvi-

poynctes and ſect therone, & then make choy- ;junc of

ſc, of the greateſt , & yvhich is moſt fitteſt for the au-

me, conlideringe the fracture vvhich is inthe ©:

bone,to intrude the ſame therin, and caſylyc

vvinde the ſame therin, houldinge your han-

dealvvayes hanginge,and not depreſle the fa-

me to harde, becauſe he vvil calylye enough

center therin, & yvhen he hatha little pearced

vve muſt as then vvitha certayntye , & the ca-

ſyeſt vyay poſſible endevoure , to litt vp the

broken and crut hed peeces of bones, Burit

ſoe be , there be anye pecce of bone loc farre

ſhoved vnder the (culle, that it laye above the

membrane , and the ſame conlideringe his

greatnes,and the anguſtnes of the apertione,

coulde not by anye meancs be taken thcrour,

cther by Elevatorics,or Pincers, vi c mult thE

take our refuge, (if ſo be vvE vvil not through

the trepane make the apertione anye bigger)

tothecuttinge pincers, & tothe Parrates bil-

le, vvith the yvhich vve may currt of as much

bone as vve plcalſc, vvith outanye payncs, or

daunger, makinge one this forte the apertio-

ne ſomvyhat yvvijder, to take out of the ſame

the foreſayed peece of bone , vvhich driveth

one the Dura mater. Touchinge the infleCti«

one or bendinge invvardes , vvithour frattu-

re , vyhichcommonlye chaunceth in yonge

children, orin theſe vyhich havea vveake &

tender (culle,yvhen this is crut hed, or bendt

invyardes, asis a COpPper or time potte, thole

ar better to be cured vvith extractige plaſters,

then vvith the trepanc or yvith the grovvn-

dedravvcre,

THE

=

Sixe
thinges

vvhichin

ſovvinge
mult b:
c6lidered

Deſcriprti
one of (0-
vvinge.

Inventio-
ne & vie
of ſoyv-

inge.

The Frenche Chirurgerye

THE THIRDE TRE

ATISE OF THE OPERATIL
on of Chyrurgerye,wherin is diſcourſede and handelede of

the ſovvingeor ſuture of yyoundes. Contayninge ſixe Chapters.

VVhat the ſuture, or ſovvinge together of avvounde is and the vic therof.
VVherone vve muſt nore in the ſovvinge ofa vvounde.

VVhat is needfalle, to the ſovvinge, and of the meanes, hovy to doe the ſame.
Of the ſpecies, or differences of ſoyvinge,and of the time to remove the ſame.

Chap.r
Chap.2
Chap.z_
Chap.s4

Hoyy yve ought to repole agayne the guttes, vvith the net, yyhenas they hange out of the bo.

dy.
Of the Ga/troraphia, or ſoyvinge of the bellye-

33 What ſoWvinge is , andthe w/ſe therof, andin
what impedimentes ſhe is neceſſarye, and in
What partes. Chap. 7.
7 He Chyrurgiane ought to con
62> lider ſixe eſpecialle thinges,
vyhich concerne the ſovvinge
of vyoundes: Firſt the vie ther-
{1/7 MASS of, thatis,in yvhatimpedimets
Er itis neceſlarye, & in vvhat pax-
res: vvhar vve muſt therin conſider:vyhat ther
is vvantinge to effete the foreſayed ſovvinge:
after vyhat manner vve ought to doe it, & ho-
vve manye faſhions, & differences ther are of
the ſame. Therfore ſovvinge ola vvounde is
nothinge els, buta vnitinge,and couplinge to
gether of the diſſevered partes: vyhich vveare
contrarye to nature, ſeparatcd and parted one
fro the other, vvhich fore ſayed vnitinge muſt |
be cffeted vvithe a threded needle.

The occaſione, vyvhy vve inanye vvounde,
or ſeparated parte, vie this ſovvinge,is to vni-
reagayne, & ioyne them together, vyherofthe
convenienteſt mceanes is, this ſovvinge, & the
vic of this combinatione, and thateſpeciallye
inallſuch partes , vvhich vve can not conve-

Chap.s
Chap.s

left,all accordinge as the vyoſide or the ſepa.
ratione is more or lefle, overthvvarte, c6tra-
diQtorye,loge, deepe,or vndeepe.In like ſorte
| Is the ſovvinge, verye neceſlarye ina vvoiide,
| yvherinapeecce or parcell of fleſhe hangeth
| one the one {yde,and one the other endas yet
connexed, cvenasit commonlye chaunceth
moſt commonlye, in a great hevve or {lal he,
throughe the vyhich the care, hangeth by the
heade,orin any other parte, as in the noſe, the
vyhich helde faſt butat one end onlye.

It happenethalſoce ſometimes , that the Sgyyinge
vyhole parte is cleane cut of, vyherin the ſoyy in a ſepa-
inge is nothinge profitable, vyherfore therin do ps a
vve mult not vic anye ſoyvinge at all , tO profirable

cure thE agayne, for then in the ſeparated par- and nec-
teis noe more life, & therfore can noe more ©
be nouriſhed of the bodye, by the vvhich the

nicntly oraptlye binde together, even as vve |
may playnlye ce , in the greate yvoundes of |
the armes, & legges, vyhichare overthvvart-
lye vvounded, in like manneralſoc in the bo-
dyc vvvich happen in the length therof , for
the lippes or edges of the ſame, are ſoe much
ſeparated one from the other and cauſcth the
vvoade ſoc to gape, that hee coulde not vvit-
hout great daunger be cured , vnleſle thatin
anye place vve ſovvcdit, to bring them toge-
ther and vnition : becauſe that all incarnate,
or fleſhye partes of the bodye , are dravvne
throughe vvith certayne ſinnuithe fibers or
filamecres, the vvhich beinge overthyrartlye,
or contradictorylye ſeparated the one , from
the other, the one lippe of the vvoiide is dra- |
yven opyvarde, & the other doyvnevvard or |
the one on the right tyde, & the other one the j

Pr —__— — 4

curinge ought rocome.

Andalthoughe thatall thoſe partes, vvhich
agaynſt the courſe of nature are ſeparated fr6
the other, might behove to be healed agayne,
ci not beare or ſufferto be vnitcd or coalited,
even asare the ſynnues, Tendones, & Cartila-
ges orgriſlells, becauſe after the opinione of
aunciente profellors, and asalſoec the vieand
practiſe treacheth vs,ther nauſt conſequentlye
follovveof one pricke,or thruſt vvith a nedle,
in the ſynnues, or tendones, great payne of all
ſortes, inflimatione,convullione of ſynnues,
and ſometimes alſoe death it ſelfe, throughe
the ſympathye, or compaſſione, vvhich they
have vvith there firſte originalle , the vvhich
Galenus, hath ſhevved vnto vs, in a vvoſide, be-
lovve the Hockes in the vyhich, conlideringe ,_ _.
thegreatnestherof , it vyas veryec needefull ,, are
that there ſhoulde be a profounde ſuture ,& daunge-
that not onlye to bringe the ſu perſituated ms
places, together, but aloe the protolde lyin- yy,
ge yartes of the vvounde:the vyhich he ende-
vourige to eftee, hath ſepararcd the tedones
fro the muſcles : for becauſe ther is great dai»

ger conliſteth in the hurtinge of the iynnues,
evenin like ſoric is ther dauinger in hurtinge
| ot

of laques Gvil ls.

of the rendones, & that conſideringe the ſyn-
nuiſhe fibers yyhervvith the muſcles of the
bellyc are connectede, vyhich in time chavige
themſelves intoa tendone, yyhich vve com-
monlye call the great ſynnue.

What Wee ought ro conſider in the ſuture , and ſoWwin-

ge of a Wounde. Chap. 2.
Why vve E muſt notatanye time ſovve
may not £ vpa vvounde, leaſt in the firſt
— {4 ſhce be vvell purifycd, &cle-
of avyoi anſed, as vvell externallye, as
de dravve | internallye, ifatthe lcaſt vvith
_ | outany great daunger or per-

clot: twge rill it may be effeted:extraftinge and takinge
thet, therout all that is contrarie vnto the ſayed
vvounde,as iscongealed bloode, vvhich com-
minge to corruptione, might cauſe greate in-
flimatione , &oftE times alſoe a convullione
in that parte , throughe yvhich the ſovvinge
breaketh, & tearcth, & ſoe conſequventlye hin-
derethe the vnitinge & healinge of the vvoi-
de: vvherfore in the reſovyinge ofa vvoiide,
yve muſt deligentlye note , that vve doc not
contracte & dravve together on all {ydes) rhe
lippesor edges of the forſayed yvounde (ex-
cept it vveare in the haremouth, & in the cle-
aved or ſevered lippes of the mouth) but muſt
leave ſome diſtance betyycenc the one & the
other lippcorinanye place ſome or other a-
-pertione , becauſe the matter vvhich gathe-
reth it ſelfe xogether , in the bottome of the
vvounde, may iſſue therout, and by that mea-
nes the medicamentes may be theroneappli-
ed. In like ſorte the Chirurgiane muſt in ſovy
inge conſider, & vie medicoritye, and not ta-
ke ro great a qvantitye, etherin the length, or
in the depthe ofthe fleſhe , and of the (kine,
throughe the vyhich there might enſue and
follovve great payne, vvhich vve ought not
tocſteeme for (malle, & therofallſoe yvoulde
remayne anillfavored & ynſeemlye cicatrice
or ſcarre : Astothecontrarye the not deepe
ſovvinge of the yvounde, myght caſylye brea-
ke and burſt agayne, &then in vayne it vyea-
re ſoyvede. For if foe be, that the needle, be to
neere thruſt throughe the edges of the vvon-
de, thE the threde becauſe of his tenuitye tea-
reth throughe the { kinne or fleſhe, & vvhen
as vvc thruſte the needle to deepeand farre,
from the lippes or edges of the vvounde, then
there reſteth and remaynetha greate parte of
Fleſhse Theſkinne,vvhich vvill not be vnited: yyher-
vvith Fleſ fore indifferentlye vve ought to pearce toge-
hecom- theras much of the ſkin as of the fleſhe, be-
— cauſe the fleſhe farre ſoonerand caſyer com-
tovnite, Mmcth to heale and cure, vvith the fleſhe then

the ſkin- theſkinne vvith the ſkinne,and that is conſi-
ne vvith

ſkinne, deringe the naturall remperatencs of the fo- |

—_—_——

__
Fol.14.
reſayed ſleſhe, vvhich is vvarme,and moyſte.
Andastouchinge the diſtance of the ſtitches,
and ſooyvinge, vve ought notto lave them to
clofe one by the other, nether to farre (epara-
te & ſequeltred one fro the other, as the they
can not retayne the vyounde : And vyhen all
to nyethe other theyarcelaycd , cauſe payne,
throughall the ſtitches , and dravvingeto-
gether ofthe ſame, through the vyhich payne
is cauſedaconcurſione of Humors vntothar
place : vve muit therfore vie a meane therine
vvell confideringe,the largenes, and length of
the vyounde : butaboveall vve muſt marke,

. that vvethruſt not , throughe or in anye ſvn-

nues ortendones,conſideringe the payne, the
Spaſmus and manye other fearfull accidentes,
vvhich therot mightenſue , as allreadye vve
have fayed. Sovving ofa vyvounde may not be
efteQed vvith anye violence , in thoſe parties
vyhich vve endevoure to vnite and bringe to
gether, but thE is ſovvinge laudable, vyhen as
the {kinne ſtretcheth itallmoſt together, of ir
ovvne accorde, & yyheras in this forte it yyill
not be effeted or brought to paſſe caſylve , &
thatthe lippes of the vvound yvith violence
mutt be ioyned,it isas then moſt convenient,
that vve relay the ſtirches ſome diſtice one fro
the other, & lettinge them be ſomvyvhar lool-
lye ſovved: forifitchaunced vve drevve them
ſoravyhat ſtiflye together , the ſkinne might

Ih
O5 %

then caſylyc rente or teare, & ſoc burſt a ſun-
derthroughe the tumefaCtione vvhich therot
enſueth:lt chattherefore, vyedilire perfeQtive . . o
to curea vvounde, yve ought as the ſoc to dil- nv nut
polc of the ſovvinge, becauſe that in thus doin by anye
ge,the humors, bloode, matter, and the exter- _— ”
nall ayre might be repelled , from the lippes, ;n the lips
or cdges of the vvoiide, becauſe ſuch thinges, pcs tric
may hinder, or atthec leaſte deferre, the curin. Y\99%%*:
ge of the ſame: andin ſoc much, as the lippes

ofthe vvounde are not yvell vnitedthe one

vvith the other, and kept in that ſtature, & vni-

tinge, the yvound can verye badlye & hardiye
becured,

Andalſoe ifthelippes ofthe vrounde, doc We may.
greatlye chauncerolſyvell, & inflame, & theye |! 900)
ſhrinck in themſelves , or cls if they be to ;1,0 pps
much bruſed or plettered, vve muſt notthe in ofanin-
anye iorte rcſovve it agayne : for the ſuture —
vvould ſtrayght vyave breake, and ſoc conſe- ;
quentlye the inflammatione increaſed , but
muſt delay it foc longe vntill the forcfaved jn-
flammatione be ſcaced & the vvounde be co-
me to goode ſuppuratione and marter, and is
prepared and readye, to be ynited & brought
together.

What is neceſſarye <'nto the ſowvinge of 1 Wounde,
and ho\xe re onght convenientlye to doe
it; Chap. FA :
D i) VVhen

The Frenche Chirurgerye

Hen as the Chyrurgiane deſi-
reth aptlye & convenicntlye

\7J//28 to ſovvca vvounde , he muſt
WH firſt of all have in his handea
KA ANGST necdle, & thertoa threde, and
en == acanullc:Cocerningethe nee-
dle, ſhee muſt be of a reaſonable length, ſom-
rimes right, & ſometimes croocked,accordin-
geasthe partes reqvirc , nether muſt{hee be

made of to harde a ſteele or mettle , yvher of ||

they caſylyc might chaunceto breake, butof
gentle ſtcele, becauſe they might rather ben-
de then breake : althoughe ſhce oughtto be
ſtiffe, ſmooth, & infrangible, havigea ſharpe
triangled poynQte, becauſe that in her entrin-
geſhe might both cut & pricke , &ſoe the ca-
ſyer perce or goe ther through, & becauſe that
in hergovvinge throughe, {he might make a
longe little vyound or hole, & not rounde, be
cauſe thoſe little rovyndes,arc moredifficulte
Whatfor. tO be cured, then the longe holes. In the heade

methe ſhe muſt be one both (ydes hollovve,in form

-< wo Re ofa gutrure, becauſe the threde might therin-

Ve. ne be hidden & buried, & not hinder the per-
cinge or entrance of the needle, in the dravyi-
gethroughe therof, becauſe \ hee then touch-
eth the bodye in that ſort more caſyer and (of
ter: It vvill notalſoc hinder accordinge to the
fayige of Avicenna, that vve lomyyhatanoynt
the needle vvith oyle, vvherbye the payne of
the pricke night be ſomvyhat ealyed, & the fo
rc ſayed needle cnter the eaſycr.

Winrtfor- The threede muſt be ſmooth, ſoft rovynde,

14cthe : 445 q

thi-ds And vvithoutanyeknotr, all equivalent vvith

muſt ha- the thicknes, & greatnes of the needle, but not
vY inany ſorte to thinne, leaſt he chice to breake
or cut through the lippes of the yvoade. V Ve
may rather take a threde, the lilke, becauſe the
knott of the ſilke caſylye vnlooſeth, throughe
his vveaknes:itis righttrue that the foreſayed
threde , muſtnot be to harde , becaule there
throughe he might hurt, the yvonde, & not to
ſofic leaſt he breake nor chaſice tocorrupte,
before the time the vvounde be fullye healed,
vvherthrough the lippes of the vyoiid , might
agayne diſſolve & vvaxe looſe: yet notvvithſti
dinge novveadayes vve had rather vica thred
of carmoſyne lilke, the a hempen threde,or of
flaxe, vvhich Galenus diſprayſeth & miſliketh,
in his third booke of methode, vyherc he beſt
liketh ofa threde of vvollen vyhich may be
likened vnto, a brovvne threde , ora vvhytc
ſilke threde ravve, vvichout beinge dycde, or
bro colourcd : becauſe thatin the dyinge ſometi-
thrde MeSiscntermingled poyſen , asin the ſcarlet
may not dye ther comethe Arſenic. The fore ſayed Gale
be dved ys vſcth ſtringes made of ſmalle guttes,as arc
O_ luteſtringes, bu: coſideringe there moyiture,
theyquicklye beginne to ſyvell, & rotte, vvher
fore vve had rather vica ſtronge brovvne thre
de, vyhich vve muſtdrayve throughe yvaxe &

vvaxc it becauſe ſoe much the lefſe he mighe
corrupt & ruit, & houlde the faſter. Andto ct-

fe this & ſurelye to ſoyvea vvoiide vve muſt
havea Canulle vvhich one the one end muſt

be rode, ſplitte, & vvith a hole, partlye becau-

ſe the edge or lipp of the vvoiide, vvhich vvith

the needle vve vyoulde pearce, & becauſe that

the fore ſayed lippe may ſtay, & reſt it ſelfe, on

the pype , vvithour ſtirringe this vvay or that
vvay,& throughe the vyhole to eſpye, vvhen

the needle is halfe perced throughe as then to
dravve her through vvith her threde, vvithour

ether the nedle, or the thred to dravve the lip-

pes of the yvounde tovvard, them , & becauſe
throughe the ſplitte of the pype, it might the

the caſyerfr6 thence be removed, to reſt thers

the other edge therafter, yvhEſheallſoe mu ſt

be thruſtthroughe. And convenientlye to ct- p4,,y 4
fe this ſovvinge ofa vyvounde, vyc mult firſt ſovve a
thruſt through the ypper lippe of the ſame, ſj- vy9unde
tuatingeatthe firſt the holed cnde of the pype = —_
vvith the left hande , internallye vvithin the
lippe of the forelayed vyounde , becauſe ſhe
may reſttherone , and nor ſtirre this vvay or
that vvay, then vvith the right hande vve muſt
thruſte the needle throughe the cxternalle par
te of the lippe, invvardes, & then ſctthe Can-
ulle on the externall parte, of the nether lippe
of the vyounde, & thruſt the needle internal-
lye outvyardes, of the foreſayed lippe, & gent-
lyedravvethroughe , the threde, becauſe as
then vve may couple &ioyne agayne the lip-
pe rogether:& if it be needfull tq lay more ſit
ches, vve muſt lay them as isa fore ſayed: ſome
me hould the lippes vvith ther fingers in ſtec-
deofa Canulle,

The kindes and differences of ſoW.inge,or ſutures, the
the time,

the methode,or rule to rake the

away. Chap. 4+

HJ He auncitt Chyrurgianes ha-
> vcinvented &fovynde out di | — of
\ vers & ſundrye vvayes of ſovy | ——
inge ofa vvounde, coſiderin- accordiyge
SG P72 ge, & markinge one the vvoli- —_ _
Sr ded parte, & nature or qvally- rhe >
tyc of the difleaſes: for the vvoundes of the ar- yvounde.
mes,or legges, as in thoſe places vve may bet.
ter & vvith more covenicnce victhe dry ſutu-
re:the yvondes of the bellye,arcalſoc on an o-
ther faſhone ſevved, then the vvoundes of the
guttes. The profounde & deepe vvoundesare
ſovved,on an other fal hon,thT the not deepe
vvoiides: Alſoe are the debile & imbicille per-
ſos ſovved one an otherfaſhs,as arc vvoeme,
the thoſe vvhich are robuſte & ſtronge, & by
great paynes takinge and labour havea harde
{ kine, ther into e{chevve & flyc the deformi-
tye vvhich after the ſovvinge vvilbe ſcene,
Allauncicnt protcilors have vicd, & have Three for
had

ſor

,

res of (0+

nge b :
rey ſtoppinge, & the conſervative ſovvinge. The |

ent pro-
fciſors.

Incarna-

of Iaquves Gvillemeau, Fol.15.

had in eſteE, thre ſortes of ſovvinge of vvoun-
des,as nacmelyc,the incarnative , the bloode

incarnative ſuture is ſoc called becaule that

the ſeparated partes, if ſoe be yvithout violEce

tive ſuru- & cgyenictlye they may be brought together:

ie,
yic five
manner

vve vic this miner of ſuture in all freſhe vvon
des,or in theſe, vvhich are renued. And this

of vwayes. ſoyyige is effected after five miner of vvayes.

Incarna-
tive Oc
knorre
ſovvinge.

The (e-
e6d incar-
native ſu-
rure,

V Vher of the firſt is called, the knotted ſuture
or ſovvinge , becauſe thatin evetye ſtitche,
vvhich perceth throughe both the lippes of
the vvoud, is every time cutt of, & vvith both
the endes of the thred above the vvounde 1s
knitte together: betvvixt the vyhich ſtitching,
vve lay as yet other. This ſuture is done vvith
a vvaxcd threde,as isall readye ſayed, notinge
that bothe the lippes muſt zxquallye be ioyned
the one vvith the other, vvith out thatether
the one or the other , yeldcit ſelfe more this
vvay the that vvay, placinge the firſte ſtich in
the middle of the vyoiide, vvith a perforation
of both the lippes of the vyoid, by the vvhich
the threde beinge paſſed , ſhall one the one
ſyde of the lippe bedravven together, & abo-
vedobblelye knitte together, cuttinge both
endes of the threde ſhorte of , becauſe they
ſhould be noe hinderice, vnto the remydyes
vvhich vveſ hall applye: The vvhich in the re-
nuinge of the dreſſinge might be the occali-
one of payne, or brekinge of the ſtitches, vvhE
as vvith the plaſters vve chaunced to plucke
them. If the vyolide he greate, vve muſt as yet
lay more ſtirches,in the middle of the Spacii,
& one both endes of the yyounde, ſo procee-
dinge forvvardes vntill the vvhole vvounde
be layed vvith ſtitches or ſutures, everye ſtich
a fingers bredth the one fro the other, becaute
at the lcaſt the lippes of the yvoiide might be
broughtclole together,conſideringe , & due-
lye perpendinge the generall obſervatione a-
bove meEtioned, & eſpeciallye that the ſtitches
be not layed the one to neere to the other, or
the one to vvyde fro the other becauſe as heer
tofore vve have ſayed, through the great mul-
titude, and throughe ſoc many prickes, they
bringe & are cavſe of vehemet payne: & c6tra
ryly they lyinge to fare the one fro the other,
the vvoide as thT beinge not ſufficientlye oc-
cluded, orſhutt vp,doe little profite, & como-
dityc, thcrforc they may not be layed to cloſe
by on another, nether to farre ſeparate the on
fro the other, they alſoc vyhich are laycdto
looſelyc, ſuffer the yyoiide to gape to vyyde, &
they vvhich tofaſt, & {tritlyedravve together
the vvounde,canſe inflammations, & copell
the vyoiide burſt open, vyherfore heerine vve
ought te obſerve a mediocritye,

The ſeconde incarnative, or fleſhe making
ſuture,is done yyith one, or yvith more need-

——

les,as if ſoc be the vvounde be greate, & deep,

aSthE vve beginne to ſticke & thruſte the nee-

dlc in the lippe or edge of the vvoande , vvith-

| outdravvinge of the forefayed needle quite
throughe her vnitinge, ſhee ioyneth together

through,althoughe ſhee berhreded, bur muſt
; ſuffer hertocontinuetherine, and vvinde the
| thredeabout her, in form ofan $ asthe Tay-
| lers doe, vvheEas they are mynded ſafely to kee
| pe therethreeded needle, anye vyher one ther
| apparrell,as you may ſee inthe figure or form

of the haremouth:& ſoc put as manyec needles
therinasſhalbe ncedfull , accordinge to the
greatnes of the vyounde, & vvinde the threde
ther about, and let them cotinue therin vntill
ſuchtimeas the vvoiide halbe healed & ioy-
ned agayne. This ſovvinge or ſuture is vied, in
{ſuch vyvoundesas ſtande yvyde opt, & in thoſe
inthe vyhichthe lippes arc ſeparated the one
ſovyhat vvydlyc frothe other, & they vyhich
vvith the common ſtirchinge might not be
contayned, or Kept together.

The thirde incarnative ſovvinge, is called, The thi
the penned ſtitchinge, becauſe moſt comm6- - =
| ye iris done vvith little quilles, or ſhaftes of native tu-
| a penne, not that the forclaved qvilles,doe ef- **<-
| fete the ſovvinge, but becauſe they contayne
' it, &alſocare a lett & hinderice that the thre-
| dedothe norcutthelippes of the vyoiidecle-
ane throughe, vvhich if vvithal expeditione
& vvith the leaſt payne vvedelire ro make the
vve muſtdoeas hcerafterfolloyvethe. VVe
{ hall firſt ofall rakea ſtronge double threde
vyhich is ſeparatcd in tvvo, atthe end having
a knotte , vyhich vvith the needle vve mutt
thruſte throughe both the lippes or edges of
the vvounde, redoinge the ſame toe often , &
in divers places,as the greatnes of the vvoide
{ hall require,allvvayes remCbringe that cyc-
rye ſtitch muſt be a fingers bredihe the one
fro the other ſituated & layed, or therabour.

This beinge in this ſort finif hed vye muſt
as then one that ſyde of the vvound vvhere
the knott lycth of the threde, bertvveen eye-
rye dubblethrede ſticke a little thaft or quville,
or cls a little ſtick of yvoode , vvhich is
vyoundcin linnen clothe, & muſt be as lon-
ge in the vvounde it felfe ; vvhich after-
vvardes vvith the threde, vve mutt drayveclo-.
ſe vnto the lippe of the vvounde: and one the
otherlippe of the vyoiide, vve muſt through
that ſame dubblethrede,in like ſorre alſoe put
aquille,ora little ſticke , vvound about vvith
linnE vvhich in the firſt muſt be dravvn vvith
one of the foreſayed thredes, and vvith a dub.
ble knotrt be knirted together , bringinge by
this meanes the lippes of the vvounde as cloſe
together as is pollible,in this vvyle proceedin
ge vvith dravvinge together and knittinge,all
the thredes vyhich therarc , in ſuch ſorte as
the firſt vvas dravven together & knitte. Such
ſoyvinge,is vicd, in greate, & deepe vvolides

in

The Frenche Chirurgerye

in the vvhich vye feare leaſtthe c6mon ſovyy-
inge or ſtitchinge might chaunce to breake, &
cutthrough the edges of the yyounde.

The fourth is called the drye ſtich,or ſovy-
inge, becauſe this may be done vvithout pear-
cinge of the ſkinne or fleſhe : vyhich vveare
vvonte todoe vvith tyvo ſtroge peeces of lin-
nencloth , vyhich are cut ofthe ſyde or edge
of the clothe, and vvhich in the endes are cut
ſharpe or picked,as heere before in the figure
vve may ſce , onthe vyhich other ende vve
muſt ſpreade a verye dravvige & faſt houldin-
ge playſter , vyhich quvicklye may bedryed,
vyhich muſt thus be przpared , vvel hall ap-
plye this ſame one both ſydes of the vvound,
alirtle higher then the forcſayed vvounde, &
in ſuch ſort that bothe the ſharpe endes of the
pecces of cloth, may be lituatedclole vnto the
cdgcsof the yyounde. This beinge cleaved ve-
ryefaſttothe (ſkinne , vve mult as then ſo-
vve bothe ther endes cloſe rogether , vvith-
out touchinge of the ſkinne,anddravve them
together yvith the threde, through the vyhich
meanes, vve may compacte the lippes of the
vvounde asclole together,os vve pleaſe. Such
a miner of ſtitchinge is very vvillingelye vſed
inthe vyoundes of the face vyhEas vyedeſire
to have noe great cicatrice left therin.

The fich The fifth incarnative ſovvinge or ſtitchin-
kindof ge, iscffcted vvith iron hoockes, yyhich one
lo-vinge both there endes vvecare crooked , yvith the

The

f: ourth in
Carnativec
luture.

ron Vhich yve muſt hould both the lippes ofthe
vie. vvounde, bringinge the foreſayed lippes cloſe

rogether : but becauſe they cotinuallye pricke

&are never vvithout cauſing of payne, & mo-

recover might chaunce to ſticke in anye mem-

brane, vvhich might ſuſcitate & cauſe payne,
concurringe of humors, & inflammatione, in

the vyolided parte, itis novvea dayes noc mo

Theſecs. rcinvic. The ſcconde ſuture is, the bloode-
d-g:ne- Roppinge ſuture, ſoc called, becauſe {he ſten-
zalitucure cheth & ſtoppeth bloode, and hindereth that
the ayre can not enter intothe vvoiide, vyhen

as in manner of revolutione yve turne the

needle, (as the furriers are yyote todoe, vyhen

as they ſovye together the ſkinnes , &laythe

ſtiches, reaſonable cloſe, harde, & on by the 0-

ther. Some vic this ſuture, or ſtitchinge, vvhe

as the great vaynes orarteryes,arc hurt or cutt
of,colideringe the great heddinge of bloode,

through the vvhich they are compelled todoe

ſoc, &1oc the more calyertroioyne & bringe
together and ſhutt the lippes of the vvounde.

Bur this ſtirchinge , is nothinge fo certay-

ne , becauſe the one ſtirchbrekinghe, all the

other breake & goc looſe, moreover the bloo

de vvhich is therin c6tayned cauſcth that part
roſyyell, andleeſcth as it yveare himſclfe be-

ryvcen the muſcles, vyhich alſoe therafter by
cotinuance of time corrupt & are mortifved,

VVherfor 1 vroulde councell the yongeChi. |
rurgiane, that he ſhould rather tyc or binde
the mouth of the vayne or arterye,ot vvith a
Canterinm cauterize it together,thE to vicſuch
a ſtitchinge, vvhich is farre covenienter, in the
vyoundes of the ſmall guttes, or entralles, of
the blather,or in the vvoiides of the ſtomacke
ro be effeted, ifat the leaſt in the tyvo laſt it
may anye vvay poſlible be brought to paſſe.

The thirde ſovvinge , or ſtitchinge vve call The;..
the conſervative , or the przſervinge ſuture, de >n:-
becauſe ſhe praſerveth, & Keepeth, the lippes ye.
op the yyounde vyhich are verye vvyde ſepa-
rated the one frome the other, or els becauſe
they are plettered, & cruſ hede, or els becauſe
ther isanye parte of them loſt , throughe the
vvhich they ci not by any meanes be brought
& ioyned agayne, the one vvith the other, re-
qviringe onlye to be defEded, & mayntayned
in that eſtate, till ſuch time as the vyvounde be
come toa goode ſuppuratione & incarnatio-
ne:vvherthrough the yvoiide, is foe much the
the ſooner cured & cicatriſed , vvithout anye
greate, or deformed cicatrice, remayninge in
the place. This ſtitchinge isalſoe vied vvhen
vve ſuſpecte, that ther is agye thinge cStrarye
to nature in the yvoſide, vyhich vve vvilling-
lye vyould have therout , vyherfore vve doe
not bringe the lippes of the vyvounde ſo cloſe
rogether,as in other ſutures,contentinge our
ſelves, that in ſuch ſorte vve may continue it.

Touchinge the time, vyhe vve ought to cut
a ſunderthe ſtitchinges,ther is noe certayntye
therof, becauſe in ſome bodyes, the vvoiides
are ſooner cured, then in others, alſoe the one
parte healeth ſooner then the other , vyher-
fore vyve ought not tocutt looſe the ſtitches,
before the vvounde be ſoc far come , that ſhe
hath noe more necde of the ſtitches , vyhich
cuttinge, muſt alſoc be done one divers man-
ners,as the ſtirchingesare divers: for the knot
ted ſtitchinge, muſt be done, by cuttinge eve-
ryc ſtircheaparte, rightat the knotrt, lifringe
vp the threde vvith the priverte or ſearchinge
iron, havingc in this ſorte cut of the knott of
everye ſtitche, vve ſhall as then vviththe pin-
cet or pinſinge iron dravve them out by there
knot layinge the one fingerone the ſtitch, to
hould that faſt that the one lippe of the vvoli-
de, be notdravvye out vvardes. That ſtitchinge Sovvirg
vyhich happeneth to be done vvith one or m—_
more needles,as in the haremouthes, in theſe
vvecuta ſunder the vvhole threde , vvhich is
vvoſide roiideabour the needle, the gentlelye
takige the ſame avvaye, & therafter the needle
alſoe. The pEned ſuture, is takE avvay through The pen.
the diſcidinge or cuttinge avvayc, asis above nd /utu-
ſayed, that vve ought ro cur everye ſtitcheabo *<:
ve the knotte , and ther gentlye dravve forth
the thredes therout, The dryc ſtitch is taken

avvay

rg

1c.

en-
ITU*

of Iaqves Gvillemeau.

avvay, vvhen asether vvith vyater or vvith a-
The for- Bye oyle vve moyſten the ſame. And the ſutu-
ries faſ- re of the furriers fal hone, is verye dithculte to
honed Iu he taken avvaye : in this ſtitchinge, vve muſt
wr firſtofall beginnetocutt, the firit ſtiche, and
ſoc procecdinge forevvardes , vvith the ſcit-
ſors, or ſheares, vnto the end, ifatthe leaſt it
be tro bedone,, and then caſylyc and gentlelye
take every ſtitch out apart, allyvayes houldin-

ge faſt the lippes of the vvoundes vvith pour

tiager , leaſt that they in anye ſorte litt vp
them ſelves becaule if it ſoc chaticed vve coul
de not caſylyc rcſoyve them agayne.

3 Hoy Woe 0u244 to thruſt in agayne the mou
the nett, Which — ont of the bellye.
Ci ”ap. s.

Gaftrora- N the great vvoundes of the

la Or, «65 bcllye, vvhich cnter into the
llye tu- we) "=
= d concavitye of the ſame, therin

eS& is vicdan other miner of ſovy
inge, vvhich the auncicnt pro-
| feſlors call Gaſtroraphia, that is
as much to (aye, as the bellye ſuture or ſovvi-
nge. Burt becauſe in ſuch vvoiides, moſt com.
monlye the guttes & the net come to lincke
out,itis therfore firſt ofall neceſlarye, that vve
hadle of the meanes, throughe the vvhich vve
mightagaynereſtorcinto ther former place
the guttes, or the nett, for otheryvyle can not
Theſmat #h< (ovvinge be effected, or brought to palle,
VVhen as therfore it chaunceth, that the

cs
inge guttesare ſuncke out of the bellye, vve muſt
— then firſt ofall dillygentlye conſider, vvhether

cut aſun- in noe place they are vvounded, or hurte, ſe-
der,cand condly, vvhether as yet they retayne the natu-
o_ dy rallcoloutrc , for if oe be the ſmall guttesare
ye m2- ;

anes be- Cleanc cutr of, & eſpeciallye that emptye one,
cared wyyhich vve call lemmuom, itis then impollible
that he may be healed agayne , becauſe of a

great companye , and divers greate vaynes,

vvhich are therin,allſoc conſideringe his fub-

tyle and ſynuiſhe runicle or koate,and becau-

ſe he continuallye receaveth the Cholera,and is
firuated more neerer the liver , then anye 0-

ther. But the great gutres beinge hurte, vve

may rightvvell tovve them, yet not vvithouta

ſtedfait hope that vve are able tocure them,
althoughe in reſ{peRte of the ſmalleguttes, by

the great ones, vvhichare hurte,it is allvvayes

better to have a doubrtfull confidence then a
certaynediſpayre, as much as belongeth vnro

ther curinge. It ſoc beanye of the be blacke,

or pale, (vvhich isa certayne ſigne they have

loſt ther feelinge) there is nothinge to be do-

ne vato them, orat the leaſt yerye lirtle. But

if ſoc be as yet they retayne the vitalle colou-

re, vve mult byall mcanes endevoure to brin

gethem in agayne, and that yvith all poſſible
expediione, becauſe the externallayrein the

———_

ne

Fol.16.

vvhich they are not vvote to be, doth ſtraight

vvayes change and ſpoyle the. And firſt of all

if they be vvounded, yve mult ſtitch the vvith

the furricrs ſurure, yyhich above vvec have di-

(cribed, & vvhe theyare ſovved, bringe them

into there naturall place or fituatio,dilligent-

lye notinge that vve doe not let the end of the

threde hange in the vvoiide, becaulc vyhen as

they arecured, vve may dravve the threde ther

out, & not let it ſincke into the bellye, for the

vyhich occaſione he ought be reatonable lon

ge, vvithour curttige of him from the ſoyvige.

But vyhen as vve vvill beginne or take ſuch Afer

a thinge in hand, vve muſtas then convenier- vvhar wi
lye ſer,or lay the paticnt:even as if the yyoun- |,.2 {7
de vvearein the bottome of his bellye, vve the pauict
then laye the paticnt onc his backe, vvith his
thighes & his buttockes alofte : it ſoc be the
vvounde yvearc in the vpper parte of his bel-
lye,thepatiEt muſt lye one his backe hyghlye
ſiruatedall moſt ſittinghe , becauſe that the
vvoided partes may ſuſpend & hange inthe

bellye: if ſoc be the vvourde be in the right (y-

de, vve muſt the lituat the patient one his left

{ſyde, andifin the left ſyde he be vvounded, he

muſt then lye one his right ſyde : vvhen as the
vvoude is ſoc narrovve, & foc tmalle, that the

ſvvyolle gutt, vvhich hageth our, cinot agayne
be put therin, it is then neceflarye, ciher that
by arte yvedriveavyay, & conſume the vyyn-
des vyhich cauſe the tumetaCtione and ſyve!-

linge , or thatvvedilarte the vyounde : but

itis allvyayes beſt that vve tryc firſt of all to

repell the ſvvellinghe of the guttes, vvhich

muſt be effected vvith ſome rcelolvinge and
ſtrengtheninge medicamentes, amongſt rhe whar yye
vvhich muſt be entermingled ſome mollify- oughtre
inge and ſofteninge medicamentes : as vyhen _ =
the guttesare to dryc, vve muſt then bath the, geq and
in vvarme vvater, in the yvhich mutt be done [vvolln
alittle quantityc of oyle of roles , or els yvith SRTeun
ſome grofle blacke yvyne , becauſe it ftreng- pur in ag-

theneth and vvarmeth the gutics more then ayne ot
vvater: & if ſoc be the gurttes vvith theſe reme- a
dyes, vvill not as yet relayc ther [vvellinge, & place.
tumefactione , it vvas then the vic of Mr Pa-
re,chicfe Chyrurgiane to the kinge, indivers

places to prickethem throughe, vvith a need-

le, through the vvhich the vvyndes as then de-

parte. Havinge thus finif hed all this, if toe be

there be ſucha quantitye of guttes ſuncke out

of the bellye , that they can not in anye torte

be put inagayne at the fame entrice,or vvou-

de, becaule t heceisto little , vve mult as then

dilatc it vvitha crooked Licet, vvhich cutteth

but one the on tydc, dilligetlye norige that in

any ſort vve doc nothurt the cntralls, yvhich

beinge finil hed, a coveniet perione thervnto

{hall vvith his fingers, ould a ſunder the cd-

ges of the vyyonde, & the Chirurgianc impole

the fo

— TI "IT

fore ſayed gutres agayne into ther places, firſt
ofall intrudinge of thoſe vyhich vvearclaſt,
in the comminge or ſinckinge out , cxattlyc
Theen- notinge, that everye circumvolutione of the
rralls outtes,or cverye revolutione of the ſame, may
— obtayne ther ovvne place , intrudinge the ſa-
ryc one "pg
broughe me therin vvith the fingers , and one ſucha
unto - manner that the one may folloyve the other:
_ othervyyſe that vyhich isallreadye thruſte in,
the finger beinge taken avvaye, mightchaun-
cc retire and come forth agayne, vnleſle that
vvith anye other finger vve retayncd the ſa-
me, vyhyleſt that the other finger is finiſhin-
gc his operatione or vyorke, vvith bringinge
an other portione or parte, into his placc,and
viinge this manner, they may caſylye be redu
ced into ther former places. V Vhuch beinge
done, (impoſing or layinge the hande one the
vyounde) yvc muſt as then alittle ſtirre and
iogge the bodye of the patient, vvhere throu-
ghe the entralles, yvill lituare, ſettle, or place
them ſe|ves everye one in his naturall & pro-
pre place,even as they vvcare, before theyyve-
Afrer areremoved out of the ſame. Ifthe ner, ifſu-
vvhatfort eth out of the yyvounde , and the ſame be not
topurm Part, or vvithour anyevyounde , andas yet
thence, ſoyvnde,vve muſt genttlelye cauſe itto ſincke
one the gurres, bur if ſoc beanye parte ther of
or portione is become blacke or leadiſhe co-
loured, yve muſt as thE alittle above the blac-
kenes byndc ir, to przvent the bleedinge,and
cutt it of ynder the foreſayed ſuccinAure, and
immediatelye reduce that into the bellye a-
gayne yyhich is not as yct blacke, & is yet ſoli-
de,layinge the end of the threde hanginge out
of the vyounde , becauſe therafter vye might
ceaſylye extrafte and dravveitforth, vvhenas
it {halbe therof looſened, and the vvounde be
come te goode ſuppurationeand voydinge of
matter,

v3 Of the ſtirchinge of the bellye Which we call,
Gaſtroraphia Chapter. 6.

24) He guttes orentralles,and the
IS nctt, beinge brought into ther
Rd ſeverall places, vve muſt asthE

FL \
-
REA

The ſovy
inge of
the bellye

: but becauſcſuch ſuture,

accordinge vnto the opinions

one nature anddiſpolitione, the one vvith the
other,as the Peritoneum, vvith the Peritones, (&

and ſtitch the Perironeum, vvhich is a membra-
nc,vvith the muſcles, and yvith the { kinne E-

& ſayinges of divers, may not be done in that |
ſorre, as other ſtitchinges, or ſovvinges, to
* vvittheioyninge together of that, vvhich is of |

_ —

ſoc forth of the ſkinne and the muſcles) but |
yveare vvilled and counceclled that vve ioyne |

|
|

The Frenche Chirurgerye

eaſtri, becauſe the ſame beinge verye ſynui(-
e, vyill verycdifficultlye be cured or healed,
vvith the other parte Perzronei, vvhich oppoli-
telye is ſituated aGaynſt it vyhich is allſoe of

the ſame ſynnuiſhe ſubſtance. In fine vve are

councelled,to ſovve vp the edges of the vyon-
de vvhichis in the right ſyde Perionei, vvith
the muſcles, vvhich arc in the left lippe of the
vyounde, ſoc that one this manner the muſcu
lous fleſhe, of the right lippe Perironei, vyhich
healeth vvith the left lippe of the forcſayed
Peritoneum, vvith the muſculous fleſ he one the
one\ſyde, and the muſcyvlous fleſ he vvith the
Peritoneo on the other ſyde. Becauſe that Per:-
tonewn, Vvith the Peritones, can not be healed,
vvherthroughe the vvounde onlye above in
the fleſhye parte might chaunce to heale, out
of the vyhich might cnſuca rumefattione, as
ifit vvcarca roul hing,or iſluinge forth of the
navel , conſideringe the forelayed Perironenm,
vvhich throughe eretione & heavinge vp of
the guttes , could not in anye forte conioyne
together: and ſuch a meaninge muſte be done
onethis manner. The vyounde beinge grea-
te , vve muſt have aconvenient miniſter or
ſervit, vvhich muſt vvith his hand one the ex-
terior parte of the vvolide depreſle it doyvne,
becauſe as then ſhee may be hurt & cloſed, &
nether the gutres, nor the nett, rouſh therout
ſufferinge only a ſmall portione of the vvoii-
de vncovered for the Chyrurgian, vvho vvith
his threded needle, muſt begine his firſt ſtirch
inthe end of the one lippe of the vvounde,
thruſtinge through the externall { kinne, and
the muſculous fleſhe of the vyounde, vvith-
out touchinge the Periconeum , vyhich is there
vnder ſituated, dravvinge the needle fro out-
vyardes, inyvardes vvith her threde , & thruſt
the ſec6de ſtitche, cleane throughe the vvho-
lelippe of the vyounde, vyhich oppolitelycis
ſiruared agaynſt the firſt ſtiche, ro vvirtte,, the
Peritoneums, the muſcles and the 1 kinne,, firſt
bringinge the ſtitch cleane through the Peri-
ronewm , anddravvinge the forelayed needle,
from invvarded, ourvvardes : And theſame
beingedravyve our, vvith her threde, he muſt
then lay his thirde ſtitche , as he did the firſt,
beginninge the ſtitch in the { kinne,& inthe
muſculous fleſhe,of the firſtlippe, vvithour
rouchinge the muſculous flet he , of the firſt
lippe, vvithout rouchinge the Per/ronenm,dra-
vvinge the needle from our vvardes, invvar-
des,thE he muſt bringe his fourth irch, as he
hath done the ſeconde , thruſtinge cleane
throughe the Perizonenm , all the muſculous
fleſ he, & rhe ſkinne,dravvinge out the need-
lefrom invyardes,outyvardecs, & in this forte
he muſt proceede, and goc forvvardes, vatili
the vvhole vyrounde from cnd ro end? be cle-
anc ſovyed vp , thruſtinge thronghe on the
ouc

of Iaquves Gvillemeau,
oneſyde, onlye the ſkinne &the maſculous |

fleſhe, and one the other ſyde the Perironeum,
the muſculous flethe, & the { kinne : becaute

the ſovvinge of the Perironeumonlye, vvith the |
Other part Peritonci, is nor ſufficiente, ne:her |
the ſuture of rhe flcſheonlye, bur this ſuture |
muſt as vvell bedone in the oneas inthe o- |

ther, cndevouringeallvvayes to vnite the Perz
tonenum vvith the muſculous fleſh,
An other Some there are vyhich effect this ſuture on
—_ of this manner, folloyvige, beinge of opinione,
ovvil
of the bel that thoſe partes, vvhicharc of one nature &
lye,accot- propertye, veryecalylye vnite them elves the
— one, vvith the other , as theſkinne vvith the
ſayinges. Ckinne , the flef he vvith rhe flet he, andthe
membranes vvith the membranes, vvherfore
they bringe ther firſt ſtitch, quite, and cleane
throughe the { kinneand the mulculous flet-
he,from the firlt lipp, vvithour touchinge the
Peritoneum, vyhich is thervnder lituatced , dra-
vvinge there necdle from outyvardes,invvai-
des, vvith her thred, layinge ther ſeconde ſtit-
che , in the lipp right oppolite agaynſit that,
thtuftinge then onlye throughe the Perizone-
wn, & throughe alittle flel he , drayvinge the
needle, from invvardes, outvvardes, the they
bringe there thirde ſtitch , inthe firſt lippe of
the yvounde, thruſtinge throughe the Perito-
neum, & a little flet he, vvithour ether thruſtin-
ge through the muſcles, or theſkinne , dra-
vvinge there needle from invvardes, outyvar-
des, & then they bringethere fourth ſtitch in
the oppolite lyinge lippe, & thruſt throughe
the ſkinne, andthroughe the muſculous fleſ-
he, vvithout touchinge the Perironenm, andin
that ſort proccede foreyvardes , vntill the
vvhole vyounde be ſoyyed, foe that throughe
onecdge of the lippe , but yctat divers times
they thruſtthroughe theſkinne andthe mul.
ous fleſ he,and allioethe Perizonenm.
Amongeall other fortes of ſovvinge the
vvoundes of the bellye, or ſtitchinge of them
this vvhich vve have taken out of Ce/ſ#5is the
# leaſt daungerous and the beſt aloe, & caſyeſt
Celſius. to bedone. That yve muſt have tvvo threded
needles, vvith one threde , the one needle at
— the one end,and the other needle at the other
ve 44 end of the threde, yvher of vve muſt take the
notonder One needle in the right, & the other in the left
ar br hande, vve muſt beginne in the end, of the ſu-
tlyde
of ch. a.. Perior parte of the vvounde one the left ly-
tient for de, firſt ofall pearcinge throughe the Peritone-
It is — um,then the muſculouſe fleſhe, and the (kin-
_— ne dravvinge the needle vvith the threde our,
veounde, vnto the one halfe, from invvardes, outvvar-
wy > a des , then vve muſt vvith the other necdle of
ſyde of theleft hande, make the feconde ſtitch, right
e Chy- oppoſite agaynſt the firſt, inthe right lydc of
rurgians. the yvounde beginninge\ vvith Peritoneo, as

The 220

brege

lye out of

- —

1n this forte effected

—

| —

- _———

— —

Fol.17,
vve have ſayed of the firſt ſtitch , on this forte
theacuityc or poyndee of the needle is farre c-
noughe tro the entralles or guttes, & yet not-
vvithſtandinge the heade cloſe ynto the fora-
ſayed guttes : V Vhen asthertorc the needles

have yearced & palled throughe from the one

tyde to the other, vve muſt as the chage hids,

' inreccavinge agayne of the needles atorelav-
| ed, &take the needle, of the right hand, in the
| left hand, & the ncedle ot the left handin the

right this permutatione or changinge beinge
, vve mult then agayne
thruſte throughe the lippes of the vvonade, as
al readyc hath binne done, to vvitt, from the
internall parte, toyvardes the extcrnall, & foe
proccedinge forcvvardes,as much as 1s (uthci-
ent,and allvvayes conlideringe that the one
ſtiche be allvvaycs layed right oppotyte a-
gaynſt the other, in this ſort proceedinge, vn-
till the vyyond be vyholye fevved vp, allyvayes
remembringeto leave alittle apertione,in the

| bottome of the vy onde, throughe the vvhich

the congealed bloode , and the threde m ay be

| avoy ded, vyhich apertione, vve muſtalvvaycs

keepe aperre or open vvitha little Icaden hol«

lovye pipe, vvhich in the end mult be tvede &
bovvnde vvitha threde, becaute that by chait-

ccitdoc not come to {lippe intothe bellyc of

the patient. And vve muſt yvel anddilligent-

lye note, that this ſuture or ſovving allvvayes yy... x
bedone vvith a goode ſtroge th rede, & vvitha ner of
needle, ſomevvhat crooked at the poynQ,lay- hide &
inge the ſtitches , lormvyhatcloſcr the one by n—
other , then in other vyvoundes of the bodye, hauc.
becauſe the ſtirrige of the bellye , tarre ſooner

cauleth the ſtitches to burſt and breake a fun-
der,then in anyc other partes of the bodye, &

becauſe alſoc the vvoundes of the bellye, are

not ſo ſubicte vnto inflammation or incen-
ſions,as otheralthoughe that often times the

bellye is thruft throughe,

The Frenche Chirurgerye

THE FOVRTH TRE

ATISE OF THE OPERATE
on of Chyrurgerye,wherin is diſcourſede and handelede of

the openinges,and apertions of Apoſtemations, Contayninge
five Chapters.

Of the generall vyay to open any Apoſtemations vvhatſoever.

Ofthe tumefattions, vvhich vve call, Ateromata, Steatomata,& i Melicerides.
Hovve vve ought to cauterize, & makeany inſciſione in the Apoſtemations of the breſt. Ch. z.
Hovve vve ought to make the Paracenteſe,and take avvay the vvater from them vyhich have the

Droplye.

Hoyve vve oughtto cure the Hernias aquoſas,or yyater burſtinges.

3 Of the generall way te open Apoſlemations.

Chap.r.
as Hen as vve endevoure ro OpE
ought to anycapoſtematiss, to lett the
conlider EY matter riine therout, vve muſt
yon 1/22) firſt of all before vve com to
r 1c apper ENS the inſcifione , orapertione,

conſider, vvhether the matter
might not in anye vvayes berefolvedor con-
ſumed,1hroughe the forces of the naturall ca-
lidirye,or hcate,or cls vvhether needes and of
neceſlityc be chaunged into matter. VVhen
asanApoſtematione, muſt needes be brought

to ſuppuratione of matter & can by noe mea-
nespoſlible be conſumed or reſolved, the ſig-

nes therofare theſe, namelyea burninge hea-
te,creQige of the rumetactione,or ſyvellinge,

Signes of More rednes, & vvhich isalſo harderthE befo
Tops re, prickinge, knockinge , or beatinge payne,
-* pondcroutſnes,as if there did hange anye hea-
vyethingeatthar ioynre: And if foe be this a-
poſtematione be ſituated in any principall

\ parte, then there isachillnes and ſhiveringe
thervvith aſſociated , the agueallſoe is more

violent by day, then by night : ſometimes al-

ſoc the next kernclls vvhicharc in the bodye

tonc,

ſituated thervnto come or chaunce to1yvel, & *

Gr bediſtempered. But the ſuppuratione, or re-
vwhe the {olutione to matter beige finil hed, or accom-
mater is pliſhed, the tumefaQtioneas thE diminiſhed,
tullyeri- yyerhe ſenſiblye feele prickinge, vvith alittle
— itching therbye,alſoca littledcafnes or num-
nes,vvherbycalſoc ſome times is felte a great
prickinge,cſpeciallye the matter lyinge veryc
deepe : For the matter lyingecloſe vnder the
{kinne, there tae demdoſtrareth it ſelfe a little
heade vyhich in fecelinge is fofte, and vyhen as
vvedepreſlſe vvith the tinger it glidetha ſyde,
vyher of the ſkinne , in the ſuperior parte of
the ſame heade openeth it ſclfe, & ſepareteth
itfelfe from the inferior partes of the ſame.

When V Vhen as therforcall thele ſignes reveale

Chap.t.
Chap.2.

Chap.4.
Chap.s.

themſelyes, vve may thE bouldelye & freelye, vvith the
ope the Apoſtematione, vvith the licer, vvith {ancer
out tarryingeanyc longer, thatit might of it C—_—_
ſelfe breake through, becauſe the marter may Apoſte-
the iſſve forth therar, & becauſe that through Matione,
tol6ge tarryinge, vvith the openinge therof,
ſhee doe not come todiminilhe into the cir-
cumiacent partes, & make other concavityes,
Althoughe Celſus ſayeth , that verye ſeldome Conions
vve ought to make anye inſciſione, vnder the ocllus.
armepirres, or in the flanckes vyhen the mat-
ter is ripened, & come toa full and good ſup.
puratione,in like ſorte alſoe, vvhen the Apo-
ſtematione is not to greate & is placed vnder
the ſkinne, but thatas the vve make the aper.
tione vvith Cataplaſmes, & ler them of them-
ſelves breake throughe , vnleſſe throughe the
intollerablenes, and greate dolor or payne of
the patient, the Chyrurgiane vveare compel-
led, to open the ſame, becauſe ſaycth he,that
if vvith our inſcifione or cautegyſatione vve
make the apertione, noe deformed cicatrice,
or ſigne, therof, may remayne. V V he the mat
terlycth deepe vve muſt the coſider, vvhether When the
the part be ſynnuiſhe, & if ſoc be that it is ſoc phtjone
vve muſtas then open the forclayed Apoſte- muſt be
matione vvith a hott Iron, vyhich is thervnto ®Pened
verye convenient, becauſe that apertione, al- _ Nat
thoughe vve make it ſomyvyhat ſmalle, it tar-
ryeth a longe time ope to make iſſue vnto the
matter,through the vvhich alſoe the cicatrice
continueth verye little, VVevſc novve in
theſe dayes potentialle corroſives. If foe be
about the place of the apertione any ſynnues
be ſituated, vve ought then to feare vyhen vve
muſt make the apertione vvith a hott ir6 that
then the patient might fall into Spaſmo, orels
the ioyne might be criple, and tarrye lame,
therfore vve ought rather to vic the lancer,

It happeneth alſoe ſometimes, thatalthough
the apoſiematione be not yet ripe, & vvith- Jorg
out greate ſtore of matter , yet notvvithſtan- yy.
ding reqvitcthto be opened, clſpeciallye, yvheE

| as

of Iaqves Givillemeau.

a5 itis ſituated by, or next vnto ſome vvortthy
parte, the forelayed matter beinge venomous |
there c6- Or peſtiletialle, vyhichif vve luftered them to
plete ri= continue vatil there complete ripenes & ma-
Pen turitye, might dravve invvardes, & throughe
there venomous dampes, mightinfecte ſome
of the vvorthyeſt partes, out of the vvhich, as
then folloyve molt fear full accidentes. And
althoughe Ce/ſas counceleth vs, that vve muſt

Fol.18.

& better animated and incouraged, except the
greatedaunger reqvired othervyyle the corra-
rye Secondly vve muſt note, that the apertion
be made ina convenict place, vvhichcoveniet
place,is knovven by the tumetfattione, of the I-<4ly
| parte, inthe vyhichthere revealeth it (elfe a
| little heade, & ther is greate vveakencs & ſof-
| tenes founde therin, vvhich glideth vnder the
| feelinge of the finger, & vyhere the lkinne is

——————— _— — — — ——— | —

” >

| nth. He «

ſtay vnrill ſuch timeasall apoſtematrions, are
come vntoan accoplit hed maturitye, vvhich
arc ſituated in the ſynuuil he partes , becauſe
the ſkinne beinge grovven thinner , and the
matter ncerer approchig thervnto, vve might
then the caſycr & necrerattayne therto, not-
vvithſtidinge our beſt pratifioners councell
vs , that vve ſhoulde open ſuch apoſtema-
. tions : asthey alſoe councell vs, to open all a-
ſtemations, vvhich are ſituated cloſe to the
——_— — xo tothe
ligamentes, yea and before the time of the ac-
compliſhed maturitye, becauſe therin , they
might not cauſe anye great r Ottennes, Or COr-
ruptione of other partes.

In like ſorte muſt the apoſtemations of the
privityes be opened , before they be come to
ther full maturityc, becauſe there chaiice noe
corruptione in that parte , as all ſuch partes
throughe there greate , moyltnes, are verye
much inclined ynto corruptione & rotrEnes,
asallſo beyonde this, the matter throughe to
longe beinge therine continued, cauſeth the
Inte /finumretti, or the gutte of excremetes, to
corrupte, & rotte, vvhich is farr ſofter,thE the
externall{kinne, vvherthrough the forelayed
matter oftEtimes internallye burſteth out, by
the vvich comonly follovyvetha Fiſtle, vvhich
is all moſt incurable.

VVhenGtherfore vve {ce that theris anye
matter in the Anoſtemation, vvhich hath noe
iſſue, & by her ſelfe can make or eftetanye ec-
ther conlideringe her cralitude, her crudetye
& viſcolityc,as therby not beinge poſliblefor
her toattayn vato complete maturitye, or els
becauſe the (kinne is harde,or that the foreſa-
yed matter lyeth todeep, through the vvhich
there remayneth a great thicknes betvvet the
ſkinne & the matter, or els conſideringe cer-
taync inconveniences, vve may notdelaye ſoc
longe, vntill it be fully mature,and ripe,as arc
the Apoſtemations , vvhich are ſituated next
vnto ſome vyorthye parte , as by anye greate
vaynes,or (ynuiſ he partes , vyhich arc incli-
ned to great corruptione. The Chyrurgiane
muſt vvithoutany logerdelay,make the aper-
tione vvith his licet, rather thE roexpecte any
of theſe daiingers above rehearſed. The fitteſt
time therfore firſt ofall todoe an operatione,
isin the morninge by time, colidering that in
fucha time, the perſone is farre better quicted

thinneſte:itis right true that ſuch an 'apertis

might bedone in the inferior partes of the tu-
metactione a forelayed , becaute the matter Penal
might the caſyer iſſue out, yvith out dra\ ving cipalle 6
of the medicameres,or through the harde de- ditions,
preſſione of the ſame becauſe all evacuations —_—
vyhich chaunce in the hanginge fores,ci farre curgianc
better avoydethe matter,thEany medicame- mult con
tes,eſpecially in ſuch partes, of the vvhich vve CO
cinotchaiige the lituatione, as in the vvhole any fy.
Chaos of the bodye:For although, in the armes, 1:nge.

or legges,any apertione is made in the ſuperi-

ore partes of the tumefatione, throughe the
ſituatione,fuch a faulte may be remcdicde.

The third conditione is, that vve muſt con-
ſider,one the rimpelinge of the ſkinne, & one The third
the fibres of the muſcles, and becauſe the muſ- <64tuoue
clesallmoit runnethroughe the length ot the
bodye, the apertione mult the be made in the
length of the bodye,andaccordinge vnro the
right concurringe ofthe muſcles. Notyvith-
ſtandinge althoughe, the rimpleFor forefrote
of the heade lye thyvarte over, yet the inſcilis
muſt therin be made accordinge vnto the leg-
the, follovvige the fleſhye fibers, of the broad
muſcle:othervvyſe the ſkinne beinge curt ac-
cordingeto the riininge of the rimples, might
chaunce to fall on the eves, In the heade vve
muſt obſerve the grovvinge of the hayre. Vn-
derthearmepitres,& in the flanckes, vve muſt
conſider the { huttinge, or one the rimples of
the ſame places, becauſe the deformitye of the
Cicatrice, vnder the fouldinge of that part may
be hidde, & to pra veEtthe imbicillytyc, vvhich
15an occalione, of the receavinge of the cocur
ringe humors: The to przvetr, that vve doc not
chice totouche, any ſynnues, TEdone, Vayne,
Arterye,or any other partes of elteeme, & rhat
the apertion, may be done yvithout ane daun-
ger,vve make novy the in{cifion in the length
asthE overthvvarte, accordinge as every parte
requvireth:vvhich ci not rightly be donethen
of thoſe vvhich have a complete knovviedge
of the Anatomye: othervyyle they ignoritlye
might chaunce to touch a iynnue, ora vavne,
or mightchaunceto cut an artcrie , vvher-
throughe the Spaſmns,the Parali//s,or any great
ſheddinge of bloode, yea alſoec & at fomrimes

might becaulc of his death.

The fourth conditione is, that vve muſt re- The 4

me&berdilligentlye to make as {mallc an aper- Rn
B 3 tions |

.
TT Ry £m. — _ _ OY
. Ny ©
— I re er ——— —
—— - - *% _

The Frenche Chirurgerye

tioneas vve may , ſurvayinge the apertione,
vvith the magnitude of the Apoſtematione:
For if ſo be it be little , vve may asthen make
therine a meane and reaſonable inſciſione,
vyhich alſoc muſt not be deepe, butthe apoſte
matione bceinge great, vvearc the ſometimes
vrged,ro make tyvo inſcilions, or more then
tvvo,bcinge therin made, that one of them all
vyaycs, bein the inferior c6cavitye of the fore
fayed Apoſtematione, becauſe the humordoe
not chaſice heere or there to makeany more
cocavityes,cve as the hnmors, allvvayes inter
nallye, corrupte & cat through the circumia-
cent parres,and therin diminiſhe. ;
And if ſoc be thatany apoſtematione, yvith
mize great concavityes cam into our handes, & the
ringeall {kinne therover might as yet becured agayne
great Apo yyith the fleſ he, vve muſtas then make but o.
ltematG3 \1o apertio or inſcilione, throughe the yyhich
the matter may iſſve: but if ſoc be the fleſhe in
ternally is caten, & corrupted avvay,vve muſt
as then cutt throughe vvith a rightcutre, the
vvhole concavityc,accordinge vnto the leng.
the therof, vvhich beinge done, & the edge of
the vvounde in all places beinge very ſkinne,
& bereft of all ther fleſ he vve muſt clippe or
cuttthem clcane avyay : becauſe ſuch ſkinne
reſtrayneth and kceepeth backe the matter,
vvhich cauſcth the circumiacent partes to cor
rupte, & hindereth the applicatione of the me
dicamentes: bvt vvhen as vve cutttheſ\kinne,
vve muſt doc it triigle vvyſe, or in forme ofa
mirtle leaſe, becauſe the apertione ſoc much
the ſooner, might chaiice to heale, becauſe all
rotidityc in viccratios isdifticult to be cured.
Fr6 vrhe= Andtouchingeall great apertions, vyhich
cevve may be madcin theapoitemations , muſt be
malt rake ; -
our 11,4;}. Made,accordinge tothe abiidance,or the qvi-
cation, of titye of the matter, &accordige as the ſubie&e
che great- partes therot require. Asalſoe yve muſt con-
n50f he j;4er,on the depthe,, & marke that vvethruſt
vyounde, 4 ,
not the lancet todcepe therin, but reaſonable
dceepe:for vyhE as vve thruſtto deepe,itis the
rcat dolour, & payne to the patiEt, &cauſeth
alſoc much blecdinge:& thruſtingenotdeepe
cnoughe, vve cftcte& brige nothige to paſſe.
The fifth coditione, muſt be obſervede,ac-
cordinge to the apertis of all greate apoſtema
tios, that at one time vve ſufter notallthe mar
ter ro rfine out, but rather by little, & littlGel-
pcciallye, the patient beinge debile , oulde,
yonge, orany vvomi vvith child, becauſeall
ſuddayn evacuatios, doe cauſe great imbicilli-
ty & fayntnes becauſe ther through the vitall
ſpirites,cvaporate & flycavvay, vvhichin the
cocavityc of theApoſtemation vvith the mat-
ter yveare ſhutttherin, althoughe they area-
gayr.ſte nature.
The apertione beinge done, vve muſt hidle
the vyvound, accordinge yntothediyerlityc of

An admo

nizone

' An other
cunditio

—_— —

thoſe partes, vvherin theApoſtematione vvas , |
ſituated, &alſoc accordinge vnto the time & yz. —_
ſeaſon of the yecare. The Chyrurgianec ought conſider
eſpeciallye to eſchevve the great tEres, vyhich —
Celſus prohibiteth ro vie in the ylcerations of he
thearme pirtes, & flanckes, & that becauſe of ſvvclling.
the great vayncs,arteryes, & ſynnues, vyhich

in thoſe places are ſituated, layinge onlye ther

onea ſponge vyhich is madefied, & vvetted in

vyyne. VVecomonlye lay theron a flatre plu
maciolle or tent made of linte, and therone a

plaſter, levinge ſoc the ſolutione apert, becau-

ſc that the remayninge matter might iſſue &

come forthe therat vvhich othervvyſe throu.
gheagreatlogethicke tente, might therin be
retayned, & kept backe. This beinge done, vve
muſtthen drefle that parte, & yvindc it begin-

ninge to vvinde from the ſoyvynde parte, vnto

the botrome of the c6cavitye if there be anye,
endinge at the apertione becauſe the matter

may be preſſed & cruſhed therour, vvithout be

inge therin retayned, any longer, becauſe by
tolonge tarryinge therine, it doc not cauſea

greate hollovve fiſtulous concavitye to come

therin : then vve muſt lay that partin ſuch a
ſortthatthe apertione may depend or hange,

becauſe ſoc the matter may the better iſſue

out therat,

Of the tumefattions,or ſwellinges called, Ateromata, MN
Steatomata,and Melicerides. Chap.2.

Heauncient profeſſors , have .., diffe

® allvvaycs noted, onlyec the ſpe rence =

cies & formes of vicerations, theſe thre
a that they onlve differcd the 0. V{ccrati-

FX nefrom the other,in the mat. ©

Ns ter, vvhich is founde therine.

Forin the yiceration Ateroma , is a kinde of 5;

matter like vnto thinne pappe: the viceration COB

Steatoma, a kinde of fatte matter, like ſucr. In them.

Melicerides,is a matter likevnto honnye : Soe

that by the forme of conietture vve may ſay,

vyhat matter therin lycth incloſed , bur fora

certayntye vvecan not ſay it, before ſuch time

as vve havefetched ſome of the matter ther-

out : andonethis manner they arcallyyavyes

knovynethe one tro the other. vvhenas vve

chaſice to touch the vicerati6 Areroma, it ſpre-

adeth abroade, in that place vvherso vve chaii-

cetodepreſlc it, & doth nor ſo ſuddaynly,ioy-

neitſclfe together. The viceration Meliceres,

differeth fro the Areroma, in his forme, & ſub-

ſtice of his humors for his figure is much roi

der, and the ſubſtance of the humor vvhichis

therin,farre ſubtiler.ſoc that it ſpreadeth mo-

re abroade, then the Areroma, vvhen vvith the

finger vve depreſle it, it ſeparatcth itſelfe far-

reſoener, &alſocioyneth much ſoener, vvhe

yvetake the fingers therof, The viceratione

S1eato»

{

of Iaqves Gvillemeau.

Steatoma,is much harder,then both the other,
& in the touchinge of it, it ſtirreth not, but re- |

ſiſteth the depreilinge of the fingers, & com-

—

molyc in the bottome is it ſomvvhat broade, |

and verye ſcldome or never may vve ſc any
vvhich are vnder narrovve & broade above.
We often Theleforefayed vicerations, are in ther be-
times fin- $1
de harde time, they grovv to begreater, ſome are verye
mv. harde, & yve finde ſometimes therin vyond-
cerations. TOUS matter,as if it yvcare little ſtones, bones,
rovvilcd hayre, mixed vvith any matter yvhich
is thicke. |
The mat- Philexomus ſaycth,he ſometimes hath fovvn
ret lyerth de,in the matter vvhich therin lay incloted, lit
encloſed tle creatures,as if it had bine gnattes, vve mult
in alirtle otc thatal thoſe forclayed humors, & al the-
ſe vvonderfull thinges, are incloted as it vyca-
rein little blathers.

Butas much as concernethe the apertione
of the ſame , it hindereth nothinge vvhether
the matter be like pappe,or like honnye, or li-
ke ſuet, or vvhat matter ſocver it might be: for
vve have but onc onlyc intentione , to vvitt
that vve extracte & dravve out the blather, or
little bagge, vvherin the matter is incloſed, for
the manner hovveto open its this.

VVe mutt firſt of all lift vp the ſkinnefr6
rationeto 12E botrome, & then cuttit of, makinge inici-
curethe ſione accordinge to the greatenes of the vice-
vicerati6$ xatione,dilligetlye markinge leaſt vve cut the
hn—_ blather or purſe vvherin the the humor is in-

cloſcd, becauſe the matter doe not chaunce to
iſſue out : For the matter beinge iſſued, the
vvhole remant&t operatis is perturbed, & an-
nihilated, becaulecalſoe there by the operatis
fallcth flatte doyvne:ſoec that as then vve may
or can veryedifticultlye flea, peele or ſeparate
the forclayed membrane of the matter, from
the fleſhe, vvherthroughe the vvhole curati-
one,conliſteth vvithout reciduitye.
VVhenas in this ſorte, vve { hall have cutt
the ( kinne, the the little bagge demonſtrateth
it ſclfe vvhyte,and outſtretched , vvhich vvith
greatedilligence, vve muſt endevoure to {cpa-
rate thereof, vvith a Spatula,to vvitt, from the
ſkinne, & out of the fleſhe,or vvith any other
inſtrument , vvhich is thereto ſerviccable,
vyher vvith vvc mult take it out, vvith all that
vvhich is therin, vvithout ſufferinge anye iotr
therof to remaync in the bottome, becauſe it
chaunce not to increaſcagayne : Andit it ſoe
happencd that there chaunced totarrycanye
thinge thcrofin the vvounde, vve muſt not as
the hcalc togcther the apertione verye ſoone,
but vvith puryfyinge medicamentes, purifye
that thcrout vvhich as yet remayneth therin.
V Ve multalloc heer note, that ſome of the-
ſe vicerations,are rotede betyyeenc anve vay-
nes,arteryes,ſynnucs, & tEdones, vyhich cra-

The ope-

We muſt
inthe ope
rawtone

nningeallyyay little, but in continuance of

07 SI" =

rol.19,

dication, reqviretha greate & longe cotinucd ,.,
& convenient manuall, operation , becaule, _—
thinckinge quireandclcanerto take avyay the der,thar
little bagge or purſe from thence, vve might Y< 4©-

* *- - p a. ; 1-
chaunce to burit anye va) ne,arterye, ſynnuc = w _

| or Iedone,therfore if to be therebe anye par- ke anye
| te therone faſtened itis then better to deliſte Vv"cs»

from our operation. V Vhe this OPCTatione is —_ ow ;

thus finit hed, in anyec ſmalle ſvvellinges, ther or rendo-
iSa$ the noc more daunger , vyherfore there 2

. reſteth no thinge for vs todoe, then vvith any

- —

— --

——

curinge medicamentes, to heale op the inici-
lone, layinge theronea Compreſic, madeticd
in ſomedetentiveor other, becauſe that in the
dreſſinge,all inflimations may be prxvenred,
& the ſeparated partes the on agayne conioy-
ned vvith the other. But if ſoe be the vvounde
vveare great, & coulde not be cured , one this
manner,it vvill not then ſeeme diſcommodi-
ous, that vve ſtitchitvp , layingethe ſtitches
ſomyvhat vyydethec one from the 0ther,to ler
anye mcdicamemt or other droppe betvyeen
them, &togive paſſage to the mat:er vvhich

cngendreth therin : & then yve mult vrholye
curethele viceratios asall other vicerations.

Touchinge the curing of Quees evil vyhich

isalſoe done through manuall operatione, is
alſoe one this miner effected, takinge the fo-
relayedQueens evill vyholye therout, if toe be

it be poſſible dilligentlye markinge, that vve
chaiice not to hurte anye vyaynes lituated ther

about, & eſpeciallye of thoſe vrhich are divi-
ded amongſt the muſcles, vvhich are ſer vicea-
ble to the ſpeach, or voyce,as arc the recurren
tes,or retrogradinge muſcles, & thoie vvhich

arc lituated,abute the Laringaas vvell the prin

cipalls as commo: For it hath oftT times hap-

pencd that ſome haye had this diſſeaſe of the

Qveenesevill cut out about ther throt, vvhich

all there life time therafter have remayned ho
arce & vvithourt ſpeeche.

3The manner hoWs to cauterize, & male an inſci-
ſione in the wieerations of the breſl,called
Empiema.Chap.z.

Ervvcene the ribbes, and be- Hippocrs
| ryycenc the intercoltaile muf _ hr rhe;
= n
cles & betyvecne the mEbra- 7,4; 115
ne Pleura, concurrethe & ga+ thirde
& thcreth tomtimes ccrrtayne booke of
E ' - cdilcates,
z bloode together, vvhich chau-
geth it ſelfe into matter, although the Phytiti-
on,as vvel throughe Phlcbotomye, throughe
purgations, through fomE:ations,or through -4,;. ,,.
any other appliclations, hath done his beſt,to me facti-
reſolve & colume that. This forclaved matter, my "_
* Jen - IVC )-
ſometimes externallyedemoſtrateth her ſel- 7.7.2
fe caulinge atumetactione ynder the { kinne demoſtra
of the breſt, Then the toretayed membrane *e' -- ic
Pleura ©

ce Oe OO III” "TICS
2 WV — —_—

Plexra, allvvayes moſt commGlye breaketh, &
Thevice- 1nd burſteth a ſunder, to give paſſage vnto the

—_— matter, vvhich therafter ſincketh into the c6-

vvhich cavityc of the breſte , & is ſometimes voyded

vvecall throughe the vrine , orthroughe the mouth,

ps. ey the longes dravvinge the ſame vntothem,and
mcs d*- then throughe thethrote is coughed vp.
1. Theſignes,ifany marter be reraynedin the
fe. breſt, aretheſe, rovvit, difficultnesin brea-
| thinge, ſtinckinge breath, heavines in the ſy-
\- = rh de,adryecough , vvith great prickinge in the
tervvhich breſt,a cortinualle ague, vyhich agaynſt night

nsreray- redoubteth her forces , ſvvetinge in the ende

ned in

the ties of the digeſtione, little ſleepe, & noe appetyte

atall. Somrimes in the place of matter, there
is yyarer gathered in the breſt, vvhich vve eſpy
vyhen as the patient through great thirſt, hath
druncke great ſtore of yvater : vvhen he con-
rinuallye cougheth, vvithout ſpittinge, vvith
Shortnes of breth, vvith ſvvellinggin the fee-
re, & vyyhen vve ſtirre the breſt onMhe one ſy-
de, vyherin the vvater contayneth it ſelfe, vve
heare a ſhogging,as vve ar vvote to heare ina
pott half full of vvater : & this difſeaſe may be
Droply called, theDroplye of the loges & of the breſt.
of the V Vhen anye of theſe difſcaſes have conti-
breſt and nued any time, & noc remedyes have helped,
her toX65 g- noe hope left, that the vvater,or the matter
might by anye meanes be expelledout by the

mouth, or cls be purged throughe the vrine,
40.dayes bcinge paſled , vve muſt as then co-

me to the manualle operatione, & endevoure

to opE the breit, & makea paſlage for the mat-
rertoifſuc forth, becauſe the longes doe not

| inanyeſorte chaunce to corrupte , or rotte.
VVhich may bedone through the inſciſione,

or throughe a potenriall, or aCtuall Cauterium.

VVe mutt firſt ofall colider, vvhetherinanye

Hovve partes of the breſt, vve cſpye noe ſyvellinge or
vvcought tymefattione: vvhich havige cſpyed, vve muſt
ar then make the apertione, vvith the lancer, or

—_—_— - .

ti6in the VVith the Canrertio, & that in the firteſt & con-
Empiema yenjenteſt place vve can finde, But ourcom-
pair 2 mon vſcis,toapplyethe potential Canterium,
vvitha becauſe the aperti6, vvhich yve made therine,
corrolive through the Caureris, may the longer be kept
opE and apert, yvithout troublinge of the pa-

tient, vvith the impoſitione or puttinge in of

greate tentes , to keepe open the inſcifione.

And if ſoc be vve perceave noe tumefattione,

or ſvvcllinge, externally in the breſt, yye-muſt

then bervyecncthe thirde and the fourth true

ribbe, beginninge to account from ynder,a-

bout the mideſt of the one ſyde, fixe, or ſea-

Tip plece ven fingers bredthe from backebone , make
pertione, an apertione vvith the crooked lancet , into
the concavitye of the breſt, nota!l ar once, but
by little andlittle, or by degrees, beginninge
from vpvvardes, dovynevvardes, thruſtinge,
the poyncte of the foreſayed lancer, fro vnder

—

The Frenche Chirurgerye

the fourth ribbe, the cut1ige ſyde of the ſame,
reachige, to the vpper end of the thirde ribbe,
leaſtthat vve ſhould cutinanye vayne , arte»
rye, or ſynnue, vyhich lyeth occult and buric«
de vnder the inferior concavitye of the ribbe,
VVe mayin the ſame place ſett a Ruprorium,
vyherof the Eſcara beinge made, vve muſt cut
irthroughe, into the concavitye of the breſt,
ſertinge agayne the foreſayed Ruprorii, or cor-
rolive thers, it ſoc be at the firſt tim it had nor
made his operatione ſufficient deepe enou-
ghe. This apertione may alſoc be made vvithe
the atuall Caxrerinm, heer before diſcribed,
vvhich vve may cruſ heas deepe therine, as is
neceſſarye,to pearce the matter.
VVhen as therfore the apertione is in this
ſort effeted , vve muſt not as then ſuffer the Admoni.
matter all at once todecurre out, becauſe that wa of
ro many of the vitall ſpirites, doe not chaunce the mar-
roflyc avvay, vvhich therinlye included, or 1n fcror vva
cloſed: ſoe that yyhen as one parte of the fore g, 59%.
ſayed matter is runne therout, vve muſt then breſt.
puttherina tente, and lay therone a plaſter of
Gratia Dei,or of Betonica, Hippocrates coſiceleth,
that vveſhould makethe apertione , onetheg,;,;...
thirde ribbe, vvhen as vve have diſcovered , & ofHippo-
bared the ribb,of her ſkinne, & membrane, crates.
vyhervvith externallye ſhee is clothed, ſettin-
ge ther one, a Forret, or Trepane, vyhervvith
vve muſt bore herclcane throughe the vvater
vvhich is incloſedin the breſt: the vyhich eaſy
lye may be done, in thoſe, vvhich have an vice
ratione vnder the ribbes , the forclaved rib-
bes, beinge broade cnoughe , to ſera trepane
therone, betyvecne the Medriaſting, vnder the
breſtbone, may alſo gather vvater, vvhich Co- Thetreps
lumbus vvitneſſeth , that vvetrepaning throu- _
ghe the ſelfe ſame bone , let forth the vvater þyne ©
therat. But vve muſt note, that there are ſome through
auncient profeſſors, vvhich houlde this aper- *b< ro
tione to be yerye ſufpicious, becauſe they pe- mow oþ
arcinge into the c6cavirye of the breſt, might
chauncetocuttalſocthe membrane ther vn-
der ſituated:fearinge leaſt the patict, immedi-
atlye after the ſuddayne apertione, throughe
the eyacuatione of the animale and vitall ſpi-
rites, might chaunce todye , vvhich vvith the
matter flye avvay,oralſoc conſideringe the in
curable fiſtles, vvhich might therof enſue: but
novya dayes vve finde the c6trarye becauſe
there throughe are cured, vvhithout havinge
retayncdanye fiſtle therof. In ſteade of ſuch
anapertione, they place in the breſt certayne
aQtuall Cauteries, or potentialle, to the num- The man
ber of 7.0r 8.yeaalſoc ſometimes cauterizin. Pr novy
Ar ; . a dayesto
geonlye theſkinne 14. times vvithout pear- wake an
cinge anye deeper, making the Eſcara realona apertione
ble brood bur not deep, vvherof they kept the
viceratione ſoc long opEvntill al the coughe
andall other impedimentes are, clcane gone,
tloW

w_-3-A -:

| |

Th
kin

of Iaqves Gvillemeau.

HoWe that Wwe muſt make the Paracenteſe,to draee
aWaye the Water out f the bellyes of thoſe Which
arc troubled With the dropſye. Chap.4.

© He Dropſve , isatumefactio-

cap IF 2c,or inflatione, agaynſt natu
theDro; - KE \ cc,or Phlegma is engendred, or
{/c. Sh alſo of ſome certayne vvindes

&' and yentolityes. This ſvellin-
ge ſometimes alſoe, ſpreadeth

* / INS COS
her ſelfe throughe out the vvhole bodye:tom-
times allſoc onlyc in the inferior parte of the
bellye.The firſt kindeis cngEdred, of a phlcg-
Thre for- maticke humor, & the ſecode kinde of Drop-

e:s of ye, is engedred of vvater & yvinde tohether:
Droplye. yylerforec the aiiciCt profeſſors have thought
that there have binne thre ſortes of Droplſye.
Th: firſt VVherofthe firſt is called, Anaſarca, Hipoſarct-
kinde. dios, Leucophlegmatias , vvhen as the vniverſall
bodyeis through ſoaked vvith vvater, through
the vvhich,cverye parte ofthe bodye {cemeth
to be render, or vveake ſofte, pale, & vnſcem-
lye tothe ſight , ſoc thatcruſ hinge therone,
the printes of your fingers fora little continu-
The ſec6+ ance tarrve therin: The ſeconde, is called Tym-
panitas, , and of Hippocrates the drye Droplye.
vyhen as the inferior parte of the bellyc is full
of inflation, or vvindes, and ſtiflye ſtretched
out and ſpanned, foc that {mitinge therone, it
giveth from him a ſovvnde like vntoa Drom-
me, it is righttruc that ſometimes ther are al-
ſoc a fevve humors mixed theramong(t, be-
cauſe by continuance of time the vvindes co-
me to condence them ſelves,and chaunge in-
Thethirg to ſome vvaterye ſubſtance. The thirde kin-
kiade., deof Droplycis called, Afies, vvhich isan in-
flation, and (tretchinge out of the bellye, be-
cauſe ofrhe aquolitye vyvhervvith iris replete,
havinge vnparted her name of Aſcos, vvhich is
ro ſayc,alcther veſlell, vvherin in formerand
auncicnt times, they vied to keepe anye moy-
ſture in,as vve doe in the hydes, & in the buc-
kes{kinnes: vvhen this difſeaſe increaſeth , &
——__ grovveth, ſometimes the hippes,and the Scro-
Dropſye, tum beginne to (veelle, vvhich isa ligne of Cen-
cophlegmatica,as differinge, from the ſelfe ſame
beinge or eſſence of Aſczres:as in the contrarye
itis not ſoc, vvhE as anye aqvolſytye alcendeth

Aſcites is vp tothe breſtec. |
ſubiete Amongttailtheſethree ſpecies,and kindes,
= gs ther is bur one of them ſubie& vnto our ma-
nuall opcratione , to dravve forth therof all
In vvhat that vvater vrhich lycth encloſed in the con-
Medes. - cavityc of the bellye : but before vve come to
vvinge of the apertione heerof , yve muſt firſt knovve,
of vvatcr yyhich of the are curable or incurable, becau-
rod 4 ſein vaync, &tothe hinderance of the patiet
invehag vvetakeitnotin hande,in thoſe vvhich throu
perfons it phe age are grovvEdebile,and feeble,orin tho
natbs 5, , Vyhich arc corrupt & not ſoyynde of bo-

Fol.2o.,

dyc,the inteſtines orentralls, beinge verye ill
diſpoledandillateale, vvithout anye hope of
amendment , & in thoſe, vvhich vvholye are
grovvenimpotent,or in thoſe vyhich arc ther
vvithe dorne , vve mult not in anye vvyle
through this operatione lay hides one them.
But in thoſe vvhich as yetare yonge, ſtronge,
&arc ofa goode conllitutione, nether have a-
nycagues, havingecall there entralles ſovyn-
de,and tempered, & in theſe, in the vrhich the
vvateras yethath made noe cocavityes, vvher
by the liver, the milte, and the guttes, might
chaunce to bealtered , inthole remavneth as
yet ſome hope, ominouſlyetoeftet and brin-
geto paſle this opcratione : &in this manner
vyve muſt vvith the ſame procede. Namelye, Hovv vv:
and eſpeciallyc,if the Droptye, retume his ori- _—_ -
ginall from the liver , the paticnt lyinge one ni
his bedde, vve muſt gentelye lay him one his
right ſyde becauſe vve may make the inſciſio-
ne one his leF#ſyde : & il foe be this fore ſayed
Dropſye proceede , throughe anye difleaſe of
the milte, vve muſt then turne him , one his
left ſyde, to make the inſcitione , in his right
ſyde,foc tharthcinſcifione , mutt allvyayes,
be done one the contrarye {yde, of that parte,
from vvhence the Droplye taketh her origi- -
nall, & that becaule the patiente muſt lve one
that ſyde,fro vvhence the original! of the dil-
teaſe commeth,tor it toe bo he lay othervvyſe
then ſoc then the obdurated parte, throughe
the ponderouſnes therof , might chaunce to
ſincke and deſcend doyvnevvardes, & makin-
gcinternallye any folutione, migt ther throu-
ghe be the occalione of great payne and do-
loure.

And the patiftlyinge onethec obdurate li-
ver or milte, might throughe the vvarmeth of
the bedde, be cated and ſtengthened. Andif
ſoc be, the patient chauncero lyc one the opE
ſyde,the vyoiide vvould then be a great trou-
ble & hinderance vnto him, & the vvhich he a
mervaylouſlyc might be debilitared, & in fee- Ml We
bled, Morover it yveare inconvenict that the the aper-
debileſt (yde of the obdurated hiver, or milte, 197e
throughe inicilione , as yet houlde be more mn
vexed. c

The patiTt beinge in this manner ſituated,
vve muſt note , in vyhat place the inſcilione
might caſyeit & vvith moſt convenicce be do
ne, to vvitt thre fingers bredth vnder the na-
vell, dravvinge ether tovvardes the left ſyde,or
tovvarde the right , bur not lineallye right
forth, betvycenc the navell, & the privityes, be
cauſe vve muſt eſchevy, andavoyde,the vvhyt
lyne vyhichin this place is ſituated, & the en-
des,of the muſcleFprigr/irs, & alloc the ſynnuiC
he tedonoutnes, ot the right muſcle: becauſe Excellent
theſe vvoiided or hurt, might fuſcitare, & cau- conlide-
ſe great payne, vvith manye other daiigerous 9”

ACE1-

The Frenche Chirurgerye

accidctes, vyherfor they difficultlye vvilbe cu

red , vvhen as fayne vve vvould heale vp the

| vvounde. Havinge notcdall this, the Chirur-
18 giane muſt vvith his left hande, & his ſervant,
\/ vyhichaſſiſteth him , naypcin thc length, the
one, on the one ſyde,and the other,one the 0-

ther ſyde, firſt ofall the ſkinne, & the incarna-

re or fleſhye pinicklc,of this tyde,to lift it vp,

& cut itclean through overthvyarte, vnto the

muſcles, vvhach beinge effeted, they muſt lett

the forcſayed clevated { kine, & pannickle fall
agaync:Andto finniſh the reſt of our opera-

tione convenientlye & fitlyc,after this firſtin

« ſciſione , (becauſe the fore ſayed (kinne may

fall agaync, one the inſcilione, vvhich inſcili-

one mutt alſoc bedone,in the muſcles, and in

the Perironeo,to ſtoppe them, & to prevent the

runninge forth of the vvater , then yve hall

lift vp the foreſayed { kinne) yve mult agayne

lift vp vvith the hande the 1 kinne , & the fle(-

hye pannickle , andthen as high as is poſſi-
ble,folloyve the fibers of the muſgles , vve

muſt ca\Fxe thruſte in the cr dlancet, &
cutthroughche yauftles ,Afnd Periconeum,as

broade as yve arc yvvonte to make the apertio-

nc in bloode lcettinge, or phleboromye , dilli-

genflyc notinge*, that vve netzer touch anye
vayncs,noc guttes,or any other parte vvhich

is lituated in the cocavitye of the bellye .Novy

therfore to effec this, vve may vvith great c6-
venicce, & dexteritye, in ſtcade of the crooked

lancet, vic our punQuall inſtrumer, heere be-
forediſcribed & defigured, the inſcifion novy

beinge done, vve muſt thruſt cleane through

the inſcidede ſkinne, the fleſ hye pannickle,

the muſcles , and throughe the throughe cut

- Peritonewum , in to the concavitye of the bellye
. Thevſe agoulden, or ſilver, pipe, as thicke asa qville
I of the pl- gr ſhaft, vyhich muſt have a broade end, that
T nothinge chaſice to ſlippe betvveenc into the
concavitye of the bellyc , and therone a little

{tring,or threde tycd,by the vvhich foreſayed

pipe, the yvater muſt be tapped as it vveare, &

dravyvyn out, bit not all at once, but by degrees

& not to ſuperfluosat one time, but on divers

daycs,to vvitt,ſo longe till nature, beinge re-

leaſed, & lighted of her pack or burthE, vyhich
mitigatinge this evacuatione , & governinge

of the forces accordige to the fortitude of the
paticnt:vyhich vve may knovve , by feclinge

of the Puls. Becauſe there are ſome, vyhich ha

Vinge made to great an cvacuationecat one ti-

me, have alſoc evacuated the vitall and livine

ge {pirites, vvhich vvearc therin incloſed, and

finally have cauſed the patiCt his death.”V VheE

as therfore vve ſhall have dravven vvater e-

noughe of at one time, vve muſt then ſtoppe

the pipe, vvitha tente of linn&, or vvitha tent

of ſponge, to retayne the reſt of the vvater, &

lay theron 2 great plaſter of Diacalcirheos:ſome

f

there are yvhich dravveout the pipe , and let
the vyounde vyhich is in the muſcles andin
the Perironeo,the(kinne, and the lippe of the
vyoiide,vvyhich before the inſcilione vvas ni-
ped, andlifred vp, becauſg that the foreſayed
vvounde, might wo ſtopped,and co-
vercd. 2 Jo |
Novv certaynlye to retayne

cepe bac-,, 6

ke , the vvater M"' Floris Phillipp 2Verye re- of M-Fl,. |

his needle quite throughe both the lippes

noumned Chyrurgiane, at Orlcans, ſticketh ris Philip
the vvoiide, comprehendinge ſufficient qvi

mouthes, and vvindeth his threde royvnde a+ ;
boure the needle , yvhervvith he contayneth
& houldeth the lippes cloſe together, ſoc that
there may not one droppe of vvater paſle
forth, andthen he deſireth to dravve,or tap-
pe more vyatet ther6ut, he then vnvvyndeth
his needle, & opencth the lippes of the vvoun
de, vvithour dray ving the threded needle ther
out. YVVhileſt that theſe thinges are this
doinge , vve muſt ſtrengthen the paticnt,
vvith good cibarics and foode, vvyhich calilye
may be chaunged in to bloode, & lett him ſoe
reſt vntill the nextday : on vvhich day,ifſoe
be he be ſtronge cnoughe , vve muſt yer dra-
vve of ſome more quvantitye of vyater, ether
through the dravvinge out of the rente, vvher
vvith the pipe is ſtopped, vyhen as vve put the
pipe therin,or vvith the clevatione of theſkin
ne, vyhervvith the apertione is covered, vvith
out puttinge the pipe anye more therin,if ſoe }
be there can iſſuc anye vyater out , allyvayes
egallinge or proportioninge the qvantitye of
yvater , vvith the forces and ſtxengthe of the
patient, and in this manner muſt vve procee-
de in the dravving,or tappinge of, the vvater.

Others there are vvhich in the opening of
the belly lay ther one a carroſive, vyher by the Corroſive
ſkinne is bitten & corroded through, the they ming
make an inſcilione throughe the Eſcara, vnto inthe EF
I of the bellye, makinge a verye, cata-
ſmalle apertione , throughe the vvhich the
vvater { hall droppingly diſtill forth, & havin-
gedravven therout ſufficict vvater cnonghe,
thE they ſtoppe it, vvith ſcraped linte , vvhich
vvhen they are deſirous to drayve more yva-
tertherout, they thE remove, & take it of. Yet
therarc others, vyhich after the inſcilione of
the foreſayed Fſcara, thruſt therin a little pipe

_therebye to dravve the vvater out, as vve have

above ſaved. Othtys ſetthere on divers,and Aroli
ſundrye,corroſives, og the place of the liver, , Logs,
and of theFnilr, penetratinge nothingedeeper givers cor
then the ſkin inffitatinge therin the dofrine rolives.
of the auncitt profeſſors, vvhich vveare vvot
ſometime, toapPly nincat once. Others ma-

ke {mall inſcifions, like vnto litile {carificati-
ons,

- — - —___ ——_ _

_ 3H ww .Hq4a4a co =

© we we

83529020

of Iaqves Gvillemeau,

L
Fol.21.

BN3,0ne the ſydes of the bellye, orels they lift cauſein ſuch ſcarifications, the an ncten® pro-

vp theſkinne, & thruſtthere throughe a ace-
dle vvith a lilke thred, vvhich threde they (ut-

fer to continue therin.
Th: n*= Andconlideringe that oftentimes, in thoſe
vell. © yyhithare troublede vvith thedropſy , there
heaveth navell heaveth vp ir ſelfe, yea and ſomtimes as
vpit {elfe hjpgc as an cgge, vvhich ſtandeth as cleere,, as
Scicked if it yveare a blather vvith vyater,there throu-
thorough ghe I have ſcene to bedravyne,a lilke or vvot-
IE threde, by the vvhich the patient perceaved
great calc, conſideringe the great qvantiryc of
vyater, yyhich through this apertione, is drop-

pinge vvyſc runne our.

Allſoc beyonde all this are the legges, the
hippes,and the Scrozwm often times, tvvollen:
for the vvhich there is noe better remedye,
the that vve (carifye them throughe the { kin-
ue,once as broade,as the apertione is in phle-
botomye : Some there be yvhichdoe this by
the innermoſt anckte or foure fingers above

tavvhae it. I have ſometimes my lelfe very luckylye &
the ominouslye done the ſame, above the knees,
ſearitica- and in the inſyde of the hippes , in the bagge
— of the teſticles, out of the vvhich firſt of all il-
ſacth a little vvatetye bloode, but immediat-
lye therafter the vvater ſuperfluoyſlye iſſuerth
therout vvithoutany inflammatione, ſoc that
the forcfayed ſcarifications, can not! hutr, or
heale, before all the vvater therof be iſſued, &
runne out , & the patientall moſte grovven
ſmaller, & the bellye evidentlye vyaxcd thin-
ner, vyhich in ſhort time vvilbeeffeed, vvith
outanye troubleſome accidentes, happenin-
ge thervnto, & vvithoutanye inflammatione
in the foreſayed partes. More over vye are not
tocxpecte anyedaunger hecrofas vve might
vveldoe, vvhen as vve open the bellye of the
Droply «Aſcites, becauſe one this manner, the
vvater vvith great qvititye, at onetime 1s not
drayven of:and if ſoc be the patient, after that
ther isa great quantitye of vvaterdravven Gf,
beganne to be vveak, vve may as then reſtray-
ne the droppinge of the vyvater, yvhE as vve co
ver the ſcarifications , vvith ſcrapedlinte, oxy
VVith a fevye burned peeccs of linnen,and ſoc
ſtopper, & binde it. Our of the vyhich (cariti-
catios,if ſoc be vveare diſpoſed todrayve mo-
re vvatertherout, vveas then vntye the fore-
fayed place, & rake avvay the linte from the ſa-
me cauſe the patiet ſomyvhatto yvalke, or ri-
de ina vvaggen orkoache,itit be poſlible, &
vVith the legge hanginge our, To caulec the

Tn. vyater, veryc ſuperfluouſlye to run

ne, or iſſue
crates,to out of the legges, Hippocrates commaſWeth vs,
dravy of
the yvva-
ter.

to rubbe the foreſaycd (carifticatios Yvith ſaul-
te, & therafter ſtue them, & vvith anye fervere
or hott medicam<tres yve muſt allvAyes & co
© tinually keep opt the ſame, to vvirt, vvith me-
dicamentes yyhichareſharpe &bitinge : be-

4

"_

teflors,as & tins, Aſclepiades, Leonides, Hippocra-
tes,and Arehigenes, haveallvyayes hadde great
confidence therin.

Bur before vve muſt come to theſe ſcarifi-
cations, vve muſtconlider one the ſtrength, &
one the age. of the patiCt: ſor theſe apertions,
arc tonoe vice, or comodyrye,tothofe, vyhich
are vvholye overcome of the licknes, nether
thoſe vyhichare very oulde, & macilete, becau
ſe thatas vvell the one as the other, of thele (ca
rified partes , might eaſylye our of hande be
mortifyed, vvithout beingeablc in any ſorte
to retayne & keepe backe the ſame, vvhero in
mediatlye follovveth death , & by the vvhich
ofrE times, the Phylicions,or the Chyrurgiis,
arc iniuriouſlye & yvithout right blamed,and
of all mE hated & had in little yvorthe,as I my
ſelfe have knovvne it happen vnts ſome , for
the vyhich Lvyas nota little greeved.

Hows that We ſhall cure the Water burſt, called Her-
nia aquoſa. Chap. 3.

wy arc contayned, is cogregate &
» Fa gathered rogether accrtayne,
Ag vvateriſhe moyſture,through
SAFE the vvhich the forc ſaycd bag-
gecommeth ro{yvel , vyhich rumefactione,
or inflatione,of the Greeckes is called//ydyoce-
le, vvhich ſeemeth to be a particularre kide of
Dropſye: & muſt hceere note that this ſvyellin
ge, ſometimes cometh bur in one ſyde onlye:
if ſoe be that this diſleaſe proceedeth out of a-
ny antecedent or foregoinge occaſions, it ne-
ceſlarilye folloyveth, that the bloode, vvhich
intoall partes of the bodye is ſent as nurritu-
re,is permutated & chaunged.into ſome vva-
teryctubſtice:& if ſo be of any blovve,or fall,
it produceth his originalle, then is conteyned
in the ſyvellinge a blooddyc kinde of moyſtu-
re. Thisaqvolitye, remayneth nor,in one cer The ſig 4
tayne place onlye becauſe ſometimes ſhe is 2*5&'
congreated & fituared beryvecn the firit & (e- "hy
code merabrane of the teſticles:yve may kno-
vvethis, vvhenas vvedepreſle the (vvellinge,
becauſeas then the foreſayed moyſture agayn
by little & lirtle runneth therin: the bagge as
then is more ſafter, nether can vve perccave a-
nyc hardenes, or tumetaction therin as the
vvaterye moyſture, vyyhich is fituated, vvithin
the concavitye of the Srrorum, becaulc the fore
ſaycd aquvolitye,is nordrivEtherin:veaalſoin
the ſame tyde, vvher the moyſtnes demonſtra
tcth her ſelfe,there lyeth the (vvellinge in for-

Hydrocs
le.

meofan cgge, or inan ovale figure, nether as
then can vyecther throughe the light percea-
F VE,OF

The Frenche Chirurgerye

ve,or throughe the touchinge therof feele, a-

noe payne, vnles it yveare great ſpanninge, of

ny parte of the teſticle, becauſe the forelayed that parte might chaunce, throughe the great
teſticle lycththerin hidden,and vvhen vveal- || tume fations,and that eſpeciallye, vyhereas
ſemble & liken them both together, he appe- || the vvatery moyſture lyeth incloſed, betyveen
areth ſomvyhar greater, & more ſyvollen,and || the membranes of tire teſticles. Novve to abo-
vyhen as this ſyvellinge or inflation ofthe teſ- || liſhe ſuch aquvolitye, there is nothinge more
ticles is greate, thT is the bagge of theteſticles, || profitable,and commodious, then to make an
vpvyvardes ſomyyhat longe ſtretched out, and || apertion therinne, on this manner as folloyy-
elevated, ſoc that the vpper end of the yarde, || eth and ſuccedeth.
partlyc aiſoc vnderthe rumetattion lyeth hid- Havinge ſhaved avvay the hayre, rovnde a- Hovve
den,& occulte. Somtimes alfoc is this vyater- || boutthe privityes(if ſoc bo the patient be noe |) —_—
iſhe humidry ſecluded ina ſeverall membra- || childe) vve muſt then cauſe him to lyc one his the apc.
ne , aSinalittle blather, the vyhich onlyefor || backe, ether one a bedde, or benche, bcinge tiouc.
thar purpoſe is conſtituted & ordayned,as c6- || vvel ſtored of linne, then vve muſt caulc a ter-
monlyechaunceth in the rumefationer Are- || vant, or helper, to ſtande one the one (yde of
roma, and yyhen itis ſoc, then isthe (vvellinge || the paticnr, & on the other ſyde of the vyher-
rovynde, &cloſclye compacted together, ſoc || in vve vvill make the apertione, vvhich tore-
that it ſcemeth to bea thirdeteſticle. layed ſervant, muſt dravve the yarde tovyvarde
There isalſoc oftentimes, a ventoſytye ga- || him: then muſt the Chyrurgian vvith his left
thered together, in the bagge, or Scrozwm, as if || hande cruſhe,on the inferior parte of the bag
it vycare a vvaterye humidirye or moyſture, || ge , becauſe that parte vvhich he vvillthrutt
vyhich rightlye todiſcerne & knovvethe one || throughe might ſheyveit ſelfe the more ſlret-

fro the other vve muſt conſider that the vvin- || ched,and fuller of ſubſtance, and pricke vvith
«2x Wc dye Hernia,or burſt, is partlyc harde and light, || his right hande, vvherin he muſt havea ſtron- x, c..-

- Abu a _ nicilione
knovy andisatone timecngendred,on the ſuddayn, || ge crooked lancert, from vpvvardes, dovvne- ofthe
the vvin- & ſubitlye ci itleeſcirſclfe, & deparie:vvhere || vvardes , vnto the concavitye of the bagge of Scrotum.
X Her- tothe contrarye, the vvaterye Hernia,doth not || theteſticles,becauſe that the aqvoſity may ri-

| vvholyedeparte, but vyaxeth ſomtimesalit- || nc out. Andif foe be the foreſayed humiditye,

tle ſmaller, conlideringe anye ſmalle ague,or || lycincloſedin the mEbranes of the tetticles,

cls conſideringe the greate abſtinence, & that || vve muſt asthen moſt gentlye, & artificiallye,

eipeciallye in yonge childrene. If ſo be therfo || onceagaynethruſttherin, dilligentlye notin-

re that there be noe great qvantitye of moyſtu || ge,that vve chaſiice not to touch, the forelayed

re,or humiditye, then is the tumefaQtion ſoft, || teſticles , nether anye of the ſpermaticke vel-

T- but if that there be greate qvantitye, it cauſeth || ſels:andifthe humiditye yveare incloſcdin a

# | then ſuch a renitatione, or {tretchinge out, as || blather, the Chyrurgiane muſt then vvith his

a bottle vyhich is full, and cloſelye ſtopped, & || left hande,cruſhe one the inferior parte of the

js heavyec in cleyatinge, or liftinge vp : ſucha || bagge, on this manner to drive vpvvardes the

ſyvcllinge by lirtle & little increaſeth:the vay- || ſvvcllinge,and the ſvvellinge beinge there re-

nes of the bagge of the teſticles ſvvell, vvhEas || tayned & kept, vve muſt cotinue it in this pla-

vvith the fingers, vvethruſttheron?the hume || ce, leaſt that ſhe ſincke dovvnevvardes agay-

dityc flycth befor the finger, & ſpreadethe her || ne,and vvith the crooked lancet, cut in the ne-

o ſclfe royynde about the finger, & that vyher- || thermoſt part of the forclayed Scrorwm vnto

on vvedoec notcruſhe, bearcth vp irſelfe:and || the blather,or bagge , vyherin the humiditye

this vyateriſhe humiditye, revealecth her ſelfe || lyeth incloſed, &let it ruanne therout, as mu-

overthvvartc,as inaglaſſe,orina blather : as || cheas is poſſible: And if foe be,it be able to be

caſylye vve may cſpyc, vvhen as vve houldea || done, vve muſt take therout, ſome parte of the
cidlecloſe thervnto,one the ſyde of the ſyvel- || bagge,or blather, becauſe it ſhould not heale l
linge,and looke then one the other ſyde: And || agayne , & other vvatertherin be engendred: ©
ſoc farreforth as the humidityec, therin contay || then vve muſt put therinagreattente made of b

ned,and occluded, be vvateriſ he, thenthe in- || linte , vyhich muſt not be to harde vvounde,

flatione or ſyvellingegliſtenneth, & is of ſuch |} thervvith to keepe open the vvotide, and nor

a colour,as the circumiacent partes therabout |] ſo quicklye heal it : for if fee it cometo be too

lyige are:ifſoc be it be blodye, or like the vvi- {|} ſoone healed, & ſhuttther might then chaun-

ne mother ordregges, and fxces of vvine,then || ceto bean other collettione, and gatheringe

is the ſyvellinge reddiſ he of coloure, or pur- || rogetherof vvater , ſoc that it might be right

To kno- ple coloured: & if ſoc be vve findeall theſe ſi- || necdfull,to-beſure of the curinge ot the ſame,

uk Fl _ gnes,and tokens, in both ſydes of the Scrorum,, || thatas much as vve ci, vve cauſe the membra-

Herniza Or bagge of the teſticles , it is then a ligne of || nes,to be puritied, and clcanſcd, of all the hu-

beone tyvo kindes of Hernia, to vvitt,in everye {yde || miditye , and moyſture vvhervvith they are

__ y- one. All theſe ſyyclinges, of themſelyes,cauſe | throughlye ſoaked.

Some

Q En ON ee ee tn

of Iaqves Gvillemeau.

Some there are vyhich applye alſoe in the
ſuperior parte of the Scrozwm,a potentiall cau»
rerye , the operatiane vvherof beinge done,
they thE make an inkcifione in the Eſcars, vn-
tothe concavitye of the Scrorwm, vyherin the
foreſayed yvater lycth incloſed, & then ſufter
the forclayed Eſcara of her ſelte to fall outand
ſeparate.Such an apertione , vvhich is made
vvith corroſive, can not ſoc caſylye be cured,
ſoe that in the meane ſeaſon the vyater hath
time cnoughc to iſſuc out therat, Others,
dravve through the ſvvellinge , vvitha ſtrong

Ap*-rtiow
þy the

inſcifione , orapplyinge of the corrolive, in
place ofa Set6,or transforatio vvher through
the forclayed vyater by little & little leaketh
our.

But the apertione vvhich is leaſt daſigerous
of theſe three foreſayed,is, the infcifis, vrher-
of noe, or at the leaſt, veryc ſmall accidentes,
can cnſuc,iffoc be {he be done expertlye,and

,

needle,a filke threede, in ſteade of makingan |

|

' fore, they are verye ſenſible & payntull.
' thatCelſus, & Panls,coicell vs,that vve i hould
| make the infcili6 cloſe by the flanckes. V Vhe
| aStherfore this ſpecies, and kinde of Hernia is ;(c tg

Fol.:

onea conveniet place.Itappeareth according,

as vve haveabove tought, inthe opcninge or
Apoſtemations, that the apertion of the Scro-
tum,or bagge, reqvircth ro be done in the infe 7.
rior partes of the ſame: notvvithitandinge cx- vr - »
periEceteacheth vs, that ther happeneth farre ***

£ C

"LEA E

the inſcifione is made belovye,the vvhen (ho vor,
is done & made above, tovvardes the tlic! cs:
forther is lefle datiger ofhurtinge of the te: i-

' cles above, or ther membrane, becaulc it is (i-

tuated more inferior, vyher all the tibers , of
the foreſayed Scyorn, doe finilhe & end, vvher-

So

db

double, vve muſt then make & doe ſuch an o- ina -
peration one both ſydes, & cſpeciallyc vvhen we
vve ſe,thatthey doc notinany fortalſlyyage,

THE FIFTH TRE

ATISE OF THE OPERATHLE
on of Chyrurgerye,wherin is diſcourſede and handelede of

the difſcaſces of the noſe, & of the mouth, contayninge ſcaven Chapiters.

Ofthe Polipus.
Of the Haremouth.

Chap.t.
Chap.2,

Ofthe vicerationes, & of the excreſcece of the fleſhe of the gummes, called Parou/z;,cnde Fpou-

las,

Chap. 3,

Of the tunge tyinge, or of the ſhortnes, or brevitye of the tunge, vvhich the Greeckes call ,47-

calogloſſum, & of the vceration Ranula,vvhich is allſoe called Batrachos.
Hovve vve ought, to cauteriſc,and cutt of, the Yuula,or pallact of the mouthe,
Of the ſvvellinge of the almondes, & of the vicerations of the ſame.
Hovve that yye ought todravye, breake, or cutt of teethe,

Of the Polipus,Chap. r.

= Ome men thereare , vvhich
_

WAI WR

havea certayne excreſcece, of
fleſhe inthe nottrells, vyhich
z&# rclumeth her originalle, out
of the bone, Frmoidis , or Chyi-
blens, & out of the bones of the
noſe. This excreicence happeneth or com-
meth toa man, by lirtle & little at once,and at
the laſt, ſhe vvaxcth ſoe bigge, & huge in qvi-
titye, that { he ſtoppeth the vvhole noſtrells,
& ſometimes alſoc hangeth dovvne to the lip-
pes, by the vvhich the patient, is mervelouſlye
moleſted, as vvell in ſpeakinge,as breathinge.
Sometimesalloſhee groyveth in the entrice,
or conduttione, through the vyhich the ayer,

'
'

”— OG OO OO

——CC

Chap. 4.
Chap.s.
Chap.6,
Chap.7.

] &the breath, are dravynec into the throte, the

vvhich vve may ealilye (ce , vvhen as the pa«
tift openeth his mouthe , behinde the pallact
of the mouth, & in ſuch a greatnes fomtimes,
that ſhe ſtoppeth the throate, vvherthroughe
the patient cometh in the end to be choaked,
ifthatin time yve doe not prevent it, And be=
cauſe ſuch an cxcreſcice of flethe, moſt com-
monlye is ſofte,and pale, havinge divers ſmall
ſproutes, not miſlike vnto the feet, of the fithe
Purpwra , itistherfore of the Greeckes called
Polipus, &allſoin our langvage Po/;pns.
Thereare noe ſortes of Polzpus vyhich being Nor (ors
venoumous, have neede of the operatione of oY _-
Chyrurgerye, becauſe yye may not touch the, throughe
in like forte yve may not touch thoſe vyhich &hviur-
arc infeftcd yyith the Cancer, becauſe ther na-

ocry by
Ws curcd.
F 1j ture

=
"I.
>— +0 —

s The Frenche Chrrurgerye

rarcis thervvith polluted, & they therthrough
ſpoyled. The yoge Chyrurgiane, may knovve
Signcs of them by there ſenſiblenes , becauſe they arc
aveno- veryedolorous, & fall,of payne , & extreame
mous Po- hard, beinge allmoſt purple coloured, vvith a
_ yery ſtinckig odoure, or ſmelle,onthe vyhich
theChyrurgiane ſhall doe nothinge, bur muſt
be handled as if it vycare the Cancker,to vvitr,
throughe koolinge,dryinge, & throughe mol
lifyinge medicamentes, throughethe yyhich
her excreſcence may be przvented.
Signesof That Polipus, vvhich is inſenſible,or vyhere
arractable there is little, or noe payne, vvhich is vvcake,
Volipus. Jooſe,trattable, vvithout beige irritated, pale,
or vyhich is ofa reddiſhe coloure , thole vve
may throughe the operation of Chyrurgeryc
take in handes. hf
"7" Wo Totheeffeftuatinge of vvhich, the aunciE-
vvcought te Chyrurgiis, & thoſe vvhich havefollovved
= 4A there doctrine , have effected this operatione
pum, Ccruellyc cnoughe: for ſomethereare vvhich
yvyle this Polipur,vvhich tothat end & purpo
ſe, therto they have cauſed to be made, andis
called in greekePolyricon Parhion, vvithout rou-
chinge of the cartilage, or griſle, vyhich bein-
ge cffeted , they dravve forthe the foreſayed
deſcided Polipns, vvith an inſtrument much li-
ke vntoan care picker, orels vvith ſome kinde
of hoocke, & then they cure & heal the vicera-
ti6,asSit reqvircth to be don. Andas comonly
there remayneth ſome little peece of roote,in
the bones Ermoides, & of the noſe, the vvhich
they ſcrape of,alſoc from the forclayed bones
rurninge, &thruſtige therin, vvithan inſtru-
met, to fetche all therout, that by any meanes
poſlible might tarryc,and remayne therein,
Others cndevour to conſume, & annihilate
An other the foreſayed Polypum, vvith certayne cauſtic-
IN4aQacr. . G ,
ke,or vitive medicametes, as vvith _Hgva for-
tis, vvith oyle of vitrioll, or vvith the liqvefac-
red, & moulten corrolive, in the vvhichthey
dippe, & madefye little ſmalle tentes, vyhich
they lay therone, vvith or throughe a little pi-
pe, becauſe they ſhoulde not hurte the noſe 0-
nethe intcrnalle or inner ſyde. Others ther a-
rc, vvhich vvith an aQtuall cauterye, cauterizc
it, vvhich throughe a pipe they thruſt therin.
Others, after the exiple the four famous Chy-
— dong rurgians, vvhich not beinge of opinion, that
rocure innocvvyle, orinanyeſorte vve vvcare able
the Poli- rocauterize thePolipus, vnto his roote, becauſe
pat heisſoedcepeingraffed,they thE make an in-
ſcilione,onethe one ſyde , of the cartilage of
the noſc, vnto the bone of the ſame, & havin-
gc in this ſortdiſcovered, & denudatede the Po
lips ynto his roote or firſt oflpringe, & origi-
nalle,then they there cutt, & cauteriſe him, &
ſtirch rogether agayne the ſayed inſciftione, as
vveare commonlye vicd to doc in the hare

. - - 0
vvithan inſtrument cutt rovvnde , orcirckle |,

— ——

——_—_———

| ,

___ 4 |

mouthes. The vvife, & Learned man Guido de
Canlzaco,liketh & commendeth this , or ſuch
like opcratione, butin noe vviſc, councelcth,
to ſtitch vp the inſcifion, before the foreſayed
Poljpus, be vvholy eradicared, & rooted our, be
cauſc if ſoc be, thatanye parcell therof remay-
ne, itagayne increaſeth, vvhich happeninghe,
to be (oc, all the trouble, & paynes of the pa-
tient, hath binne done for nothinge, &to noe
purpoſe. All vyhich operations, beinge as ſuf-
ficiently and completlye effeed as they poſli
ble may be, yet for the patiEt they are tedious
& trouble ſome, as often times, vve have vvith
our eyes behelde , vvhich to ſpeake the very
truthe indeede, they have never attayned vnto
ther perfete,and former health a gayne, but
rather farre vvorſe, then better: vvheiby vve
yveare moved, to trye.& make experiment of
afar more ominous, and more convenient 0-
perati6,to the curinge of this difſeaſe, vyhich
conſiſtethe in the vvhole cradicatione of the
ſame. Tothe vvhich endand purpolc it ſee- The man
meth vntovs convenient, that vve ſituate , & nerhovve
diſpoſe the paticnt , on the moſt convenient —_—
miner vye may,ina feate,tovyardes the light, Polipus,
& theChyrurgian, vvith his left hande openin more cer
gethe noſtrell, yvherin the Polipes is lituated, —_—
{ hall vvith his right hande , thruſt therin the enter,
flat toges,as deepe as poſſibly he may, (vvhich through
ronges muſt be ſ6yyhat broade, & like a Duc- oP
kes) bil yvhervvith he muſt nipe the foreſayed
Polips, & gentlelye vvith both his handes tur-
ne & yvinde the ſame, &thervvithalſoc dra- -
vveroyvardes himalittle, & notat one pluc-
ke , becaulſc the roote vvhich is faſt ſetled in
the foreſayed bones, might alſocfollovve,&
the forelayed Polipus at one time be dravven
forthe,and extirpared : vyhich 1 my ſelfe may
vvith thetruthe alleadge to have done , vvith
veryc little payne. M*'Sourlin,a veryc experte
Chyrurgian, hath aſſured me, that he alſoc di-
vers times hath done it one the ſame manner,
vvithoutanyc inconvenicnce. Butthe Chy- ene
) . -_ nonefor
rurgyane muſt conſider,that he doe not adveE- the Chy-
ture on ſuch an opcratione, then in that Po/z- rurgiane.
pus vvhich is tratable,and not canckerouſe,&
vvhich is greate enough, to begriped, & vvith
out breakinge to be extirpated, vyyherfore,if it
be not great enoughe, vve as then let him gro-
vve, & increaſe. And ſoc fare forth as the fore
ſayedPolzpus,drevve himſclte vpvvardes,avoy-
dinge the nipinge, of the little t6ges, vve muſt
thedravveitdovynevvyardes, vvitha little hoo
ke , becauſeas then vve may the better , take
houlde therone:the operatis6 beinge finiſhed,
ther enſuethan effluxi6 of bloode preſ(Eetlye,
therafter,vvhich vve ſhall permitte, & ſuffer
to bleed, becauſe that parte may be therof re-
leaſed, & vnburthencd : vve muſt then cauſe
the patiEt, through his noſc ro ſnufle vp redd
yvyne

(|

|
{
{

of Iaqves Gvillemeau.

vyyne, & thatas oftentimes a daye, vntill ſuch
time asit be internally cured, vvithoutapply- |
ingeany pingveditye, or oyles thervato,

39 Of the haremonthe,or S_— and cloven
lippes.C ”a

oF He cleavinge , or ſplittinge,

Fol.

2
wo
vvorſecured, & vvith moredifficulty healcd.

The meanes to cure ſuch a difleaſe, is on this
manner: VVhe mutt firſt of all ſituate the pa-

tict tovvardes the light, & vvith our left hide,

| lift vp the right ſyde. of the cloven or (plitted

lippe, &asthen cut vvith the crooked lancetr,

in the middle or vpper cnd of the forctay ed

Colobo- vvhich daylye' vveſce, inthe || ſyde of the lippe, through the ſkinne, & altoe
ma, Cur- lippes,in the cares, and in the | betvveene them both beginninge as highe, &
tum. &' nole, is of Galen called Colobo- || as neere the nole, as pollible might be done,

Ke ma, &in Latin Curtum, vvhen
>ÞÞ, as thele partes throughe anye
naturall difleaſe, are ſplitted, or clovene , asit
Torege- there vvcare a pecce cutt out. It is impoſſible,
nerat© a- that vve ſhould ingendre, anye other matter,
pycſub» g reſtore, the ſubſtice, vyhich therin is vvan-
_ ringe, becauſe it is the vyorke of nature & not
of nature of the Chyrurgiane: but he may bringe the ſe-

dravvige the foreſay ed licetr, vnto or toyvar-

des beneath or end of the lippe,, becauſe that * —_—_

the vvhole interiacetſkinne, might be cleanc ; _— the

therot ſeparated and ſevered : then vve mult cloven

change handes, takinge in our right hide, the "*?P-5-*
ef oy 42" har-mou

other ſyde of the clovi Elippe, vvhich is ſitua- ;1,cs,

ted in the left ſyde, & then wye muſt cut vvith

theleft hande, even as before vve have done

ns EIEI aro — eo ny —_ -

hog parated partes the one, by the other, and cauſe || yvith the right, becauſe the clove lippe , may
Chyrongi ſuch a ſubſtice, vvhich in that parte is deficict, | onall ſydes be cur, & on the edges be broug oht
ane. & vvantinge ſhall ſeemeas it vveare there in |' to ravy fleſhe, vy ithout leavi inge the leaſt par-

ingendred, ſoc that verye hardlye vve { hall c-
ſpye,& marke ſuchan vnſcemlines, & defor-
mitye, eſpeciallye if the ſlitte have binne but
ſmall: for theſe diſſeaſes might peradventure
be ſoc greate, thatthey f houlde be incurable,
and yvearc not conveniente for vsto lay han-
des one them, & if foe be yve endevoured to
cure them, vve mightchaunce ro make them

; rethercof v nrouched, vyhich is not cur, or ma

| deravy,cther inthe infierior,or ſuperior par-

' res therof, & that nothinge differinge froma

| greene, freſ he, & bloodye vvoiide, before vve

| aſſay to ſtitch them the one vvith the other. We muſt
This beinge one ſuch a manner effected , and let that
that parte havige ſomeyyhar bledde, vve muſt P3*'* {913

hat
as then contracte & ioyne rogether both the blecde,

—

farre vyorſe, & more vnſcemlye, then before
they vveare. VVherfore the Chyrurgiane
oughtdilligentlye toconſider, that one ſuch
kindes of fiflures or ſplittinges, he impoſe not
his handes,and eſpeciallyc in thoſe vvyhich are
ro vvyde ſeperated the one from the other, &
vyhere there is to much ſubſtice deficient or
vvantinge, betyvecne them bothe, for vvhen
a Chyrurgian endeyoureth to cure ſuch a diſ-
ſcaſc, then muſt neceſlarylye the ſciunged and
ſeparated partes,cther ioyn, & heale together |

cut partes,as cloſe, andas ſmoothe as by anye
meanes poſſible vye may, and thruſt a needle
throughe both the foreſayed revnited partes,
thruſtinge deepe enoughe through the fleſhe,

& ſuffere the needle to remayne ther in, one
| the vvhich vve muſt rovynde abour vvide the

threde,as the Taylers are yvonte to doe, vvhe
' anye vvhere one there apparrel!l they ſticke

| there needle there to keepe it : As farre as the

| fiſſure or ſplittinge be greate, vve may as then
ſticketyvo needles therein, the one ynder, &

——

agayn,orels not: if foc be they grovve, & ioyn
rogether,the lippethE is merveylou ly eſtret-
ched, & lyeth cloſe to the teethe, & one the gfi
mes: And if ſoe be they ci not ſouder, &ioyn
the on vvith the other, the fiſſure, or F plitting,
vvilbe much greater,then before it yvas , be-
cauſe & c6ſideringe that, vyhich one bot hf Y-
des yvas raken & cuttavyaye, through vvhich

| theotherabove.If ſoe bethe ſeparated partes,

of the foreſayed lippe, can not vvithany faci-

litye, orcaſe be brought together, vve muſt

the make tvvo inſcilions, in cache ſyde of the

lipp one,informe & likenes of a halfemoone,

both the korners therot toyvardes the vvoiid, Vievve
as heer befor in the figure vve may ſee, vy hich thefigure

—

OO WW——_— ——————

before.

occaſione, the paticnte, as then can farreand
much more dithculter cate,and alſo ſpcaketh
vvorſe, becauſe thata c6plete, & yyhole lippe,
is verye covenicre, & neceſlarye,as vvellto the
commeſtione,asto the loquurtion, & ſpeeche.

This manuale operatione, is verye daunge-
rous in aged perſons, & in thoſe vyhichare vn

this ope- healthclame , of bodye, or in thoſe, yvhich(as

” Ve commontlye ſay) have noughtyc hcalinge
| fleſhe, becauſe, that in mis bodye there is noc
parte or place, vvhercinthe Cickerci ſooner
come,and beingetherin , vyherin he may be

inſcitones muſt onlye penctrate the v ppcr
{kinne, becauſe that the edges of the yvounde

beinge dravvne together , might the better
ioyne the one vvith the other, tor vvithanye
violence they may not be compelled , bur ra-
ther, vvith gentlencs,and vvithout any force,
becauſe that, they beinge brought and ioy ned
the one vvith the othcr, be not agayne yvith-
dravvne backvvardes.

It chaunceth alſoe ſomciimes , that the
ſkinne one the on {yde of the fiſſure, can not
completlye vnite her fſelfe vvith the other,
vyhere throughe, that place of the yyounde,is

detore

|
:
;

|

OO CPSILIoOISS oO 4 ow CO OG———_——_

The Frenche Chirurgerye

deformed & miſhapE, becauſe it is not yvho-
lye cooperte, & coverede, ſcinge therfore that
this ſoc chaunceth , vve muſt as then cut this
ſayed parte halfemoone vvyle, vvithout in a-

We muſt nye forte touchige the other ſyde. If fo be the

nipeof

the poyn

_ acuitye or poynRte of the needle yyhich ſtic-

&c of the Keth in the yvounde, or lippe, ſticketh ſome-
ncedle. yyhatlogethroughe the other ſyde, vve muſt

Li
vvich

are cleft
in Tvvo

places.

Cleavi
of hoc

r5,and

noltcelles

We may
not pro»

nipe, or breake it of vvith certayne pinſers or
ronges becauſe it ſhoulde not pricke or hooc-
keinanve other place, & vve muſtapplye the-
ron, a plaſter of Bezonica, & in thoſe inſcilions
vyhichare madcin the forme of a halfemoo-
ne,vye muſtapplye therone onlyedrye linte,
becauſe the lippes, or edges therof, might nor
heale, & becauſe that the fleſhe vyhich therin
increaſeth, doc not replenil he the yvounde,
& the lippe ther throughe be made broader,

The foreſayed ſuture, is commonlye healed
together the ſeaventh day , and ſoudered the
one Vvith the other, vyhen as therfore vve el(-
pye & marke that it is ſoc, & that they are ioy-
ned the one vvith the other , vye mult cut of
the threde vyhich is yvounde royynde about
the needle, & plucke the needle therout, & cu-
re the remanet of the yvoſiide, &alloe the ſtit-
ches of the needle , as necelitye requvircth the
ſame to be done,and effected.

The lippes are ſome times ſplitte,or clefrin
ryyoſlundrye, & divers places, but ther6 is not
ſoc much conſiſtinge, ifthey be not ſoc farre
ſeparated the onefrs the other,as if there yvye-
area noteable peeces cutt therout, becauſe o-
thervyyſe it isas vvell & calilye to be curedas
the ſingle fiſſure. If ſoc be there be any excrel-
ſece of fleſhc,or any cartilage, foyynde abou-
re the lippes,or in anye place, vyhich neceſſa-
rilye is todeſcided yve muſtalſoe cut that our,
becauſe,inall places it might be of an zqualle
ſmoothenes. As c6ccrninge, & touchinge the
fiſſures, of the cares, or noſtrelies, vve muſt
therevvithproceede, on ſuch a miner,as heer-
rofore vve have layed of the {plittinges and fi-

lures of the lippes,

Of the vlceratione, and excre ſeence of the gummes,
called Paroulis, and Epoulis. Chap. 3.

Ftrerthe inflammation,or inſ-
» ccnlioneof the gummes, com
/ molye ſuccedethe &follovve
the an excreſcence of fleſ he,
4 vvhichof theauncitre profel(-

: ſors yvas calledEpoulis, & that
eſpeciallyc about the checke, or hindermoſt
tecthe.Sucha humor, & excreſc&ce encreſceth
by little, & little, till at laſt it increaſeth as big-
geasa hennes cgge , ſoc that ſometimes the
recth there throughe fall out, and the patient
notable to open his mouthe. Itloe be theſe

_—_—

excreſcences be blacke, and Canckepouſe, vve k
muſt notapplye there one any nckefout COI- theCane
rodent medicamentes, nether vvith byndinge keroule.
ſeparate, & roote them oute: but muſt entrea-

te, & handle them, in ſuch ſorte, as before vve

have ſpoken of the Cancker, and like all palli-

ative cures.

If ſoe be this excreſcence be tender,ſoft,& 7,
tractable, vve muſt vvhileſt it is ſmalle, deſCy- ner to cu-
de & cut it avyay,if ſoc be it be great, vve muſt *eEpuuly
thE bynde it of, vvith a tronge threde, vvhich
vve muſtalligate , and tye ynderat the roote
therof, and by degrees knitt it cloſer, till that
in thus doinge, the roote by the threde be cuter
throughe , andthe cxcreſcence fall out of the
mouthe. Sucha ligature or byndingeis farre Such ali.
ſurer,thE the diſcidinge or cuttinge of, the ſa- 8**ure 1s
me, becauſe that therthroughe, vve necde fea- b_ as
re noc ſuperfluous blecdinge, & the roote bet- inicilione
ter one this manner be taken out, & allſoe the
paticnt have lefle payne, and feare to expeQe,
thea of the inſcifione, or cuttinge,and cauteri
latione, vvhich after the inſcifione c6leqvEt-
lye follovvethe.

V Vhen as therfore througe byndinge , vve Hov*
have diſcided this carnoſitye,or cxcreſcens, &;, ron, =
thatſhe reverteth & cometh agayne, as often th-Epou-
times chaunceth, yye muſte as then religate & 1i5that
binde agayne the ſame, or cutit, and cauterize
the roote therof, it be ether vvith a little aftu-
all Cauterium,or vvith alittle oyle of Vitroll,
vvith Aqvafortis,or vvith anye other liqvefac-
ted corrolive, vvhich vve finde thervato moſt
convenient, A parte of the auncicnte profelſ-
ſors, yveare vvote to applyc therone, ſome or
other corroſive poulder, on the ſame, vvhere
of the excreſcence might clean be corroded a-
vvaye, vvhich in myc opinione is verye inco-
yenicnte,cſ{peciallyc in theſe partes.

There is as yctan other kinde of viceration, Paroulis,
or tumefaQtione incident vnto the gummes, noe
vvhich of our prediceſlors vvas called Paroulis: hovy to
vvhich perſeavige it to be come to his full ma- cuceir,
turation, & ripnes, vve muſt immediatlye ma-
ke therin an apertione, & inſcilione, vvith the
crooked lancett, vvhich muſt be of an indiffe-
ferent latitude , becaufe it might not agayne
chaunce, to cauſe a reviceratio or ſyvellinge, &
ſoc chaunce tochaungeit ſclfe intoa fiſtle:be-
ingeaperte, andopen the paticnt muſt yvaſ-
he his mouth vvith ſomegroſle redde vvyne,
vvhich muſt be ſovyhat vyarme, to exliccate,
&drye,toconfort,to repelle, & drive backe &
if ncede ſoc require to ſtoppe, and reſtayne
bloode: the nextday follovvige he muſt vval-
he his mouth vvichhonye vvatcr, rothe pur-
ginge,and purifyinge of the diſſeaſc.

This viceration, muſt immediatlyc be ope-
nede, becauſe the matter, chaiice to make noe

more concavitye, and the cheecke bone ther-
throu-

-I=]

T
Ut
tm
re1
lot
rat

of laqves Gvillemeau.

throughe chaſice to be polluted. If ſoc be ther
chaunce any corruptinge,and rottenes in the
gummes,vve muſt then annoynte them vvith
a littie Aqvafortis , but vvith due conliderati-
i one,and diſcretione. And becauſe that often-
pon times immediatlye after the diſſcaſes Paronulzs,
ruptinge Or Eporlis, there commonlye engendreth, and
of the Bl= cOmmeth a filtle in the gummes, vvhich pene
my trateth, & pearceth vnto the cheeckebon, vve
muſt note, if the root of the rooth be not rot-
p ten, & corrupt or altered, for if (o be it yveare
ſoc, (as oftEtimes it happeneth) vve muſt dra-
vve forth the toothe, and corrette the place,
vyherin the tooth hath ſtoode ether vvitha
cauteryec,or vvith oyle of Virriolle,and if ſoc
be ther be any parte of the cheecke bone cor-
rupt, by this mcanes , nature vvill expell and
drive from her the corrupted peece ot bone,
vvithout vvith violence to dravye forth the

ſame.

A reme-
dyc a-

v3 Of the retentione of the tirge, Which of the Greec-
hes was called, yr” we noWe call
it tungetyed: And of the wI:eration under
the tunge, Which of the Greeckes is cal-
led Batrachos,&> of our moderne
Phy ſicions Ranula.Chap. 4.

T He tunge in ſome perſons, or
children,isf{ horter then { hee
oughtro be, yvhervvith they
arc borne, and by the vvhich
occalio, they muſt vvith difh-
— culty vtter the vyvordes vvhich
they vvoulde (peake, the tunge beinge inter-
cepted, and hindred, byacertayne ligament,
vvhich vvecall the ſpined vayn, vvherthrou-
ghe the toge, is reſtrayned, &as it yveare, ſce-

eth to be brydeled, or throughe any mem-
brane thervnder lituated, vvheron the tunge
reſteth, & becauſe ſheecan not ſoc move her
ſelfe, and turne,as it yvcare convenient, 1 hee
ſhoulde. The children are verye longe time
before they beginne to ſpeake, & vyhT as they
beginne, they as the ſpeake verye feſtivouslye
& haſtilye, & vvithoutany hinderance, excep-
rc, in vtteringe of thoſe vyordes , vvhich arc
difficulte to pronounce , asare thoſe, in the
vvhich manye R.R,R.and L.L.L.come.

This diſſeale, is alloc ſometimes accid&talle
vntoa man , vvhen asafteranye viceratione
vnder thc tunge, there remayneth a harde cal-
louſnes, & angulte cicatrice, vvherof the tiige
ſometimes, inſpeaking muſt dubble & redub-
ble her ſelte, & they vvhich are troubled yvith
this impertcction,doe ſpeake vvith great pay-
nes & dithcultye, vvherfore the auncient pro-
feſſors of torctimes, have called thE Mogilaons,
The fore ſayed difſeaſe muſt be cured onlve
throughe the manualle operatio. To vvhich
ende & purpole, vye mutt lituate & place the

The diſſe
ale of the
tung* af-
ter a cal-
louſ*: vice
Iations.

=

Fol.24..
_
paticateas the matter is reqviringe,the ſetvirt _
ofthe Chyrurgiane havinge both. his tingers Fore eg
vvounde vvith fine linn@(to vvitt, the thum- cu, the
be, & the firſt finger) vrherevvith he muſt ta- tung«
ke the foreſayde tage by the end, & lift her vp, 735
tovvardes the rootec of the mouth: vvhich be-

| ingedone,if ſoc be the membranes vvhcrone

the tunge is faſtenede, be cauſe, of the ditticul-
tyeof ipeeche,thE muſttheChyrurgian vvitth
a (malle hooke,as is betore de(cribede, houlde
the ſame thervvith faſt, vvith his left hande, &
vyhen inditficrentlye he ſhall have firetched
out the ſame, he mult as then ether vvith the
poyncte of his {ciffors, ore!s vvir 1 his croo-
ked lancet, cutr, and diſcide it of. If toc
be the ſhortnes be cauſed becaule the liga-
ment of the tunge, isro ſhorte, & (tretcheth
itſelfe more then is needefull tovvarde , the
middle of the tunge, orcls becaulc of anve ci-
catrice : vve muſt then alſoc in like forte take
houlde on all that vvith the hooke,, & plucke

| ordrayvyeit, & cut it of, vyhich is obdurated &
| harde, alfocall that vvhich vvith the naturall
' fleſhe ofthe tunge is not moved , or ſtirred.

—

>

— —

This operatione then beinge effected, rhe pa-

tict muſt vval he his mouthe, vvith a little vva

ter & vineger, & dilligentlye ſtirre the tunge,

& often times thruſte her forth of his mouth,

& rubbe or yvipe his finger therynder, & ofiE

times vvith his teethe cruſhe her vptovvardes

the roofe of the mouth, becaule that the fore-

ſaycd ligament, or mTbrane, doc not chaunce
to1oyne & grovve taſtagayne thero:tforas the prywy ys
ſtirringe, & removinge vp & dovync,arc a hin may hin-
derice, vnto the healinge of the ſame, ſoc is all - —_
ſo qvictnes, & ſtillnes,an occaliion of the vni- a.
tinge, & cobinatione of the fame: yea he muſt
alſocinthe night (calo lay a comprete vnder
his tunge, there by to hinder, & delay the cu-
ringe of the vvounde, vyyhichcatilye fleepinge
might chaiic@& come to paſle, & that becauic
the tunge, nether by catinge, nor by ſpcakinge
iSinanye lorte ſtirred or moved.

Some of our aunciCt proteſlors, to prevent
the daager,of bleedinge in ſuch an operation, ns | 24
thruſte through the membranous ligamer, or "©" +
through the cicatrice, vvherby the tage is kept
boinde &tyed, a necdle vvith a threde, vvhich
by degrees they dravye & plucke rogether vn-
till fuchtimethe mcinbranc heervyith be cut
a (under.

VVhenas vve vrould cut the tunge tvednes
in YOnge childre, vyhichare nuely borne, vve
mult firſt of al vvith the finger litt vp the rage, cr th;
& vvith the poyncte ofthe iciſſors, de{cide,and tug; ty-
cutt ofthe membrane vvhich is lituated vnder OM bor
the tunge, & the vvith the finger vvipe alittle (4111
ſault therin & rubbe it, vvithour doinge anve
thinge els there ro, ommaundiny.c the nour-
le, todoec the lame once,ortyvice more.

It may

HHovy vv

children.

The Frenche Chirurgerye

It may alſoe chaunce that the ſpeech is im-
ge pedited & hindered, by reaſon of ſome vicera-
Ranula, tione, vvhich commeth vader the riige,called
andthe Batrachos,or Ranula,in vvhich viceratione, ther
en lyeth a yvateriſ he humiditye therin incloſed,

* vyvhichoftentimes isnot diſlikinge vatothe

vvhyre of an cgge , as vvell conſideringe the
conliſtence therof,as concerning the colour,
allyvayes commonlye beinge included ina
little membrane, like ynto the viceratione A-
teroma , & manye other coulde yicerations or
ſyvellinges. In have ſcene ſuch manner of
ſvvellinge, & rumefattions ſoc greate and ſoc
often times (afrer they have binne thruſte
through to lett out the matter)returneagayn,
that the patiEr, by reaſ6 of the greatnes coulde
not ſpeake, yea allſoc in dayvnger ther throu-
ghe of ſtyfclinge, or !motheringe , ſocthat]
have knovyne them to have binne opened
foure times in one daye, and at cveryc ſcaſon
a hidefull of matter to iſſue therout, likggnto
flime,and the vvhyte of an ezge. The vvhich
hath binn ſoe difficult ro be cured, that in the
end vve have binne compelled, toapplye ther
oneanadtualle Canteriurm, in vyhich largeand
vyydcapertione, yvc have impoſed &layed in
lince, being madefyed and made vvett in oyle
of v1triolle, by the vvyhich at the laſt the patier
is ſoyyndlyc,and completlye cured.

Novy to cure this diſſeaſc, vve muilt firſt of
all make an apertione, vvith the crooked lan-
cct,accordinge to the length of that parte and
nor thyyart or croſſcover, to giveiſſue & pal-
ſagerothe humidirye & matter to runne out,
vyhichis the occaſione of this tumefaione,
or viceratione: and if ſoc be this ſvvelling re-
rurne,the ſurcſt remedye, as thE is theaCtuall
caureryc.

To vvhich intent, vve muſt yvel, and con-
vycought venictly ſituate the patiEte, & cauſe his heade
x age to be ſtayed, & helde by his ſervant, vvith the
T2104 & One hande one his heade,and the other vnder
his ceruca his chinne, there aboute vyhere the foreſayed
agaync. yIceration is ſituated , becauſe partlye there
throughcit may be clevatedaud lifted vp, for
the Chyrurgiane vvith more caſe & facilityc
roattayne to his purpoſe, vyhen as vvith the
lice: or vvith the cautcrie vve vvill make ther
inanapertione: For thoſe partes beinge ten-
der, & ſofte, hovy little ſocver they be cruſhed
yet notvvirſtidinge yecld thEſelves invvardes
yvher throughe the apertion might be hinde-
red & fayled,andall our laboure be loſt, & be-
ſtoyved in vayne. The paticnt therforc in this
ſorte beinge ſettledand diſpoſed, and beinge
by ſome ſervit helde faſte, muſt opeE his mou-
the,then ſhall the Chyrurgiane vvith his left
hande lay a pecce of lattinne ora filver plate

vnder the tunge of the patient, vvhich hatha

hole in the middeſt therof right oa the place,

__

vyhere vve deſire to make the apertione, then
muſt the Chyrurgiane take in his right hande
a glovvinge or redde hotte Cameriam , vvhich
he muſt ſirtuate right one the hole of the fore
ſayed peece of Lattinne & thruſt the ſame in-
to the concavitye of the forceſayed yiceration:
in ſoedoingeare the circumiacent partes de-
fended from all combuſtione or burninge, &
the viceratione verye convenientlye opened,
This apertion beinge on ſuch a manner effec+
ted, & brought to paſle, vyve muſt cauſe the pa+
tient to yvalh his mouthe , vvith a mouth:
vvarer,or gargriſe , vvhich muſt be made of
barley-yyater,of Plantine, and of honic-yva-

TI,

<aS Hove ve oneht ro cauterize,catt of or bynde,
and tye,the pallate,or Vuula of the
mouth. Chap. 5.

Ature hath in the poſteriore
5) partes of the mouth created, a
& ſpongiouſe, & carnall or fleſ-
L hyedugge,as thick, & royynd.
fy as is the end ofa ſhaft, or quill

FS as calilyc yve may (ce , vvhen
as vve open the mouth. This reſcrvinge his
naturall proportione, the Greeckes as the call
it Gargareon,the Latiniſtes, Gurgwlzo , & vye the Gurgulis
pallate of the mouthe : butthe ſame beinge
amplifyed,and groyven greater, then natural-
lycitis,through the diſcendinge of any ſuper.
fluous humors, beinge of one craſſitude abo-
ve, & beneath,itisas then of theGreeckes cal-
led Chios, in Lattin Columella, as if vve vvoulde
fay,a little pillacr : burtif ſoc be it be belovve 1a.
rovvnder it isas then of the auncicnte profeſ-.
ſors called Saphila,of the Lattincs,Yva, and of '
vs, the ſincking or fallinge of the pallate. It
hath ſometimes ſuch a longitude, depending
one the tunge, that the patient allvvayes ſup-
poſeth,to have ſomyyhar inthe thror, vvhich
verye vvillingly he vvoulde ſvyvallovve.

That vvhich is blacke, vve muſt not in a- Wen vre
nyevvyſe meddle vvith, ortake in handes, in —
like ſortealſoe the ſame being vvholye infla- yvay the
med , becauſeas then vvith out daunger yve Pa
can by noe meanes poſlible, deſcide and cutr
irof , becauſe of the ſuperfluous bleedinge
vvhich conſeqventlye follovyveth, vyherfore
asthen yve ought rather to vie all ſuch medi-
camentesas ſtill, andaſſyvage payne, vvhich
moyſten and madetye, and gentlye fortifye &
ſtrenghthen the patiEr. Bur if ſoc be that there
be noc inflammatione, & the pallate be tho-
roughe ſoaked vvith humors,& is vvaxcd ve-
rye longe, vvhyre, pale, and ( harpe, vvec muſt Thre m--
as then cuttit of:as vve muſtalſoc doc vvhen 32<5 97

» ia . a vvaysTo
itis abovethinne,and belovve thicke. obs: this

* -
”

=

ww Ou
2 *

%
4
_—

4 -
*
. *
o
-
_

.

This diſlcaſc may be cured, by takinge avvay dillcatc,
that

»” —_

% by

nature,cther throughe diſleione, or throu-

the ſame. If ſoc be vve fearc anye ſuperfluous
bleedinge, it is then the ſureſt, thorteit, & ca-
ſicſt yvaye, todiſcide it, becauſe the patict ther
throughe might be freede from manye more
milcries,calamityes, & miſchaſices, vvherine
otheryvyſc he might in time chaunce to fall
as is the cough, through the cotinuallirritatio
of the forcfayed longe hangige pallate, omil-
ſione, & loſſe, of fleepe, & ſomtimesalloe the
choackinge, ſoc that vve notinge & obſervin-
geall theſe thinges,arc of tE times compelled,
for the ſuccoure of the patient, toeftect our
extreame, and laſte remedye , toprelerveand
Thefirlt Feepc him fromgreater daunger enſvinge.
"= = Andaptlyec to bringe this ro paſſe, vve muſt
ſinckinge cauſe the patient to lit in averyelucentand
ofthepal- 1;ohtſome place,andalſoe to ſet apert & vvide
latc. x | :
open his mouth, anddepreſle his tunge vvith
the Speculum oris, then take houlde one the fo-
refayed pallate, vvithalitte inſtrument, or to-
ges made onlye for that purpole , leavingeas
much hanginge of the pallate vnder the tore-
fayed ronges , orinſtrumente, asis to longe,
nought, & as muſt be cutt of, pluckinge of the
ſame a little tovvardes him, becauſe that vvith
the poynct of the ſciſſors, he may convenient-
lyecutr of, that vvhich hangeth vnder the fo-
refayed inſtrument or tonges but not that
vvhich is above the forclayed inſtrument as
eaſylyc it may bedone , for vvenas this pal-
late, is render, ſpongious, and covercd vyitha
m<Tbrane, vve as the caſylyctake houlde ther-
Anckomnn on vvhen as vve yyoulde plucke him , vyher-
—_ fore ſome Chyrurgians have oftentimes bin-
through ne deccaved, ſuppolſinge him to be much lon-
cuning- ger, vvherfore they have cutt him toſhorte, &
ee allmoſt cleane avvay, vvherethroughe allſoe
pallate. veryc troubleſome , anddithculte acciclentes
have follovved:becaulc this beige happened,
al the peorall partes, arc haynouſlye & mer-
veylouſlyetherthrough offended, vvith grea-
te difficultyc of yvel ſpeakinge, yea & ſometi-
mes aliſoec vvith vvant of ſpeech jor dumnes:
vyherfore vve ought not onlye to leave the
roote, vvheron tharthis dugge, brthis pallate
is faſtened, bur ſfomyvhat more, and onlye cut
of that, vvhich above his naiurall confſlitutio-
ne ſcemethto be toc longe. Others there arc
Aninſtra yyhich rake houlde on this pallate, vvithan in
ww oy ſtrument called Sraphilagres , vvhervvith they
called Sta VVringe it royvndeabour, & havinge vvrunge
lagres. jt royvnde,it vvaxeth crooked, & purple co-
loured, and in the ſetione therof iflveth little
bloodethcrout. Beinge novy deſcided & curt
of,if ſoc be there follovveda greate cffluxione
of bloode, vve muitas the cauſe the patient to

gargritc his mouth vyith yvaterand vineger,

ghe cauterizinge,or els throughe bindinge of | ne,orels rouch the place, orvvype it vvich (o-

I
V \ |
of 3.6 Gvillemeau. Fol.25

that, vvhich in the pallate is oppugnant vnto

| and then vvith ſome conſtringenrdecoctione

vvhich hath bi boyled yvith grotic redde vyvv- —
q agay [ne

=" bireding

me ſtronge cauterilinge vvater , yvhervvith ofthe de-

the opencd vayncs might be (carcd rozether. +
The ſeconde manner,of effcinge this fa- ** IN
me, is done vvith an actuall, ora poteciall cau- The ſecs.
| terye: as COncerninge the aCctuall cauterye, vve © mance
| muſt therevnto have ina readines and prapa- hs yt
| red, a {ylver,or copper pipe, vyhich inthe one kinge of
. . X . Pos !
end therof muſt havea little apertione in ſox- *''©Þ4"a>
me ofa little vvindovve , to reccave there in paGe-— ..
that parte of the pallate, vvhich you reſolve to uvnc,
cauterize , then you ſhall put into the pipe
your glovvinge actuall cautcrye, vvhich vvith
his cnd vvill aboliſhe and take avvay that,
vyhich ſhall hige there inas if it vycare vvith
alittle cheeſell (trokT of, and one this manner
vve muſt cauterize,and cutt of the pallate eve,
and (mothe. Touchingethe potenriall caute-
rye,or corroſive, vve mult firſt receave, into
theapertio or vvindovve of the forclaved pi-
pe, that parte df the pallate, vyhich vvedelire
tocorrolive, and then vvitha privett or {car-
| chige iro thruſt into the forcſayed pipe, a pee-
| ceof corroſive , aganſt the forclayed peece of
| pallate ofthe mouth , andcontinue the ſame
| therone acertayne time, dilligentlye conſide-
ringe,that notanye parte of the corroſive, fall
one the tunge, or thethrote , vvhen as throu-
ghe the humiditye of the pallate it beginneth This cor.
toliqvefye. And vyhe vve delire to take avyay rotive is
the forelayed pipe, vve mult the firſt of all lay og ried
. n - bcrore
the Speculum oris,onec the tunge, becaule as the £-onge
noe parte of the forcfayed corrolive, chaunce the init
tolightorfall one any ofthe ſubteriacer par- Pte
tes, nether touch any parte, but the pallate 0n-
lye becauſe therby they might be indamma-
ged, and hurte. Thus havinge brought this ro
paſſe, vve muſt annoyntthe pallatc vvitha lit-
tle oylc of roſes, vvitha little cotten or linnen
there in beinge madeficd, and made fatt,then
{ hall the patient vval he his mouth vvith a lit-
tle rooſeyvater.
A forte ther arc vvhich doc not vſc the fore
ſayed pipe, but they dippe, & moylten, alittle
cotten,or linnen, vyhich is tycd to the priver, he-
or ſearchinge iron,in oyle of vitriol, or Aqua-
-fortis,vvith the vvhichthey touche the pallate,
and cauterize it,the tunge betore beinge layed
dovyvne vviththe Speculo oris, &the alittle fea-
ſon folloyvinge they vval heit vvith Platince- Staplulo-
vvater. Others takea little kinde of ſpoone, <2%iton,a
(vvhich of our pradeceſſors vvas called Saphi- 9 os
locauſts)full &implete vvith poulder, of corro- ſpoon:
ſive,full Aqua fortis,or ovie of Vitriolle,vvher- GEcalicd
in they cauſe the endof the pallate rodepede,
allvvay before havinge layed dovvne the rugi-
ge vvithe the Speculs oris , and by this meancs
' they cauterize, & conſume, the pallate vvhich

GC bcetore

—_—

A tryed
remedye.

Thetyin-
e,vyith
the third
meancs
hovve to
cure the

1

luncke.

Vſc of the
pallate.

The Frenche Chirurgerye

before vvas to longe: it is right true, that ſome
of this corroſive in the ſpoone might chalice
to fall one the tunge, vyherfore | vyoulde ra-
ther councell to vſe that corroſive vyhich is
thicke and of ſome craſlitude,as that is vvhich
may be pulyeriſated & beaken to poulder, be-
cauſe vvithourt beinge pulverizated it can not
ſheyve his forces on2the pallate. VVhen as
therfore , throughe the applicatione of anye
of the fore ſayed corroſives, 'or cauteryes, the
place of the pallate beginneth to be blacke, it
is then a ſigne that it is ſufficictlye cauteriſed,
and if ſoc be the coloure therof be not, as yet
chaunged, vve muſt then yet once agayne ap-
plyc the corroſive thervnto, & then cauſe the
patient to gargriſe his mouth yvith Oxicrate
orvvith vvarme redd vvyne.

I have knovvne the ſuncken pallate tobe
lifted vp agayne, vvith alittle poyynded pep-
per & ſaulte, by a ſpoone, beinge therone fal-
rened:others vic there to ſome aſtringEr poul-
ders. The thirde meanes, to cure this diflcaſe,
is effected by ligature, becauſe of the timorouſ
nes vyhich the paticnt conceaveth of the cut-
tinge of, or cauterizinge the ſame, oreffluxion
of bloode. V V hich iscfteted and completlye
brought to paſle, vvhe as vvitha ſtronge thre-
de vvetyethe fore ſayed pallate vnderncathe,
in that place vyher it ſurpaſſcth his naturall
lengthe: throughe vyhich ligature,the inferi-
or parte can obtayne noe nouriture, becauſe
the vaynes by the threde are ſuffulced & ſtop-
ped vp,ſocthatina ſhort time the threde cut-
tethe of , andcauſeth to ſeparate that vvhich
hath binne bovvnde, the ſuperior parte bein-
gcallmoſt cicatrized, vvith out any feare of a-
nyc ſuperfluous bleedige. The meanes hovve
verye ncatlyc,and convenientlyec tocffett this

operatione,andallſoc the inſtrument thervn-
ro ſervinge,is deſcribed vnto you before amG6-
gc the figures of the inſtrumentes,

The vic of the forcſaycd pallate of the mou-
the,ſhevveth vnto vs,that vve oughtto obſer-
vea meane, in cuttinge of the ſame, vyhEas it
ſurmountethe the naturalle longitude, orcls
the vie therot is brought to nought, and loſte,
becauſe therthroughe, the voyce of mi is for-
med,and retayned,as the mouth or apertione
ofa Citerne , vvhen as vve touch the ſtringes
therof, ſhe as then geveth a ſovynde,cven loc
the breath of man , vvhich is the ſubſtance of

thevoyce, iſfſuinge forth of the longes bein-

gedivided,and ſpreade over, and throughout
the vvrhole roofe of the mouth , thereand in
that place to reccave the articulatione,and by
the tunge,teethe, lippes,and noſtrelles, in the
vrterance therof to be formed, VVherfore
thoſe vvhich have the ſame ſurpaſſinge the
naruralle length,or in any other ſorte, troub-
leth them, haveſucha feeble, & imbicille voy-

— a —_— CORO Mw
hk. I_- —_—

ce, that verye difficultlye vve may heare them,
or at the leaſt ſpeake throughe there noles : &
ifſoc be it be cleane cur of, they leeſe ther ſpe-
eche,and vvaxe mute and dumme. Above all
this it hath as yeratvvofoulde vic, viz the one
to prohibire, the duſte, andanye other lubſti-
cc , tocnterintothe throte, by our breathe,
vvhich conſtinuallye vve muſt dravve invvar
des,and hangeth as:t vycare dilated and ſprea-
deabroadelike yntoa tapiſtryc,oyer the thro-
te. Theother,and ſccond vie of this pallatis,

| thatit vvarmeth,and temperethe, the coulde

ayre vvhich yvedravveinthroughe the noſe
and throughe the mouthe tothe lunges , be-
cauſc throughe the extreame coulde therof,ir
might notchaſice toindammage the forclay-
cd tunge ,, vyherfore they vvhich have no pal
late, finde themſelves allvvayes very much al-
tered, & changed, and a great coulde allyyayes
one the breſt.

Of the ſwellinge of the Almendes,and of the v1-
cerations of the ſame. Chap.s.

Ne both ſydes of the pallate,
{ and inthe hider partes therof,
in the anguſtnes of the throre,
vyhich ofthe Greeckes is cal-
Ag) led I ſthmos , hath nature crea-
4 tredand formed, tvvo Almon-
des, the one right oppolite agaynſt the other,
vv hich are therfore called Pariftmia:vyhich be
cauſe of the forme, figure, and qvantitye ther-
of,are yyholyclikened to an Almonde, & are
for that occaſione called Almodes : ther func-
tione,and office is, that they retaync in them,
a certayne ſputaminous humiditye , vvhich
ſincketh &deſcendeth our of the heade, ther-
bye not onlye to refrel he & moyſte the mou-
the, & the circumiacent partes of the ſame but
alſoe the throte , and the entrance of rhe ſto-
macke, becauſe the tunge in ſpeakinge mighr
not vyvholye be cxficcatiedand dryed, and that
the c6tinuall ſpeech might not therby be hin-
dered,and interrupted.

Theſe forclayed Almondes,are ſituated, in The vſe,
a moyſte,and vvarme place,and conlideringe - _
ther ſpongious, nature,arc tubictted to all c0- Grione of
curſions of hamors , and allinflammations, the Al-
vyherthroughe oftttimes they vvaxe harder, Monacs.
and greater,the naturaliy theyought to be out
of the vvhich, procedethe an viceratiio or tu-
mefaQtione,called of vs Anrtiades, vvherthrou- A tume-
ghe the paſſage of catinge,drinckinge, & brea- factione
thinge is topped, & interrupted, loc that tho- —_ FIR
ſe afflited patientes , can not viithout great ;
difhcultlye,tyvollovve, or rcfpirc & breathe,
& even as the patiEtes, heere throughe ate co-
mc into great perill, & daunger, ſoc ihcy mult
immMCc-

of Iaqves Givillemeau.

immediatlye be ſuccourcd vvith excellent &
good remedyes.

- The aſſurcdeſtand moſt convenient reme-
dyes a- dycis,that vve cauſe the przſentlye to be phle
pon botomild, after that they { hall at the firſt ha-
—_—— ve vſcedagliſter : and the in like fort cauſe him
tiades. to be lett bloode ynder the tiige: that vve boxe

the behinde in the necke, that they vie gargri-
ſes, vvhich are indiſlerentlye frigifyinge, and
aſtringent. ;

This tumefaftione oftentimes is of ſucha
nd magnitude, that it exvicerateth:yyhich calilye
whe the yve may eſpye, vvhen as vve perceave it to be
rumefac- rumpeled,and vvhytiſhe,and vvhenas before
- —_ ther hath binne any prickige therin., V Vhich
cerates havinge eſpyed to be foe, vve muſt vvithanin
and ther ſtrument, vvhich onlyeto that intent, ,& pur-
remedyes roſe vyas made, openthe foreſayed viceratis,

orels vvith a lancett, vyhich rounde about vn-
to the poynQe is vvounde vvith linnen. The
apertion muſt be rcaſonablye dilated, becauſe
theris noe eſpeciall greate vayne ſituated, in
that place, vvhich;vve might hurt , exceptit
vvcarc in the bottome or roote of the forcelay-
ed Almondes. V Ve are ſometimes coſtrayned
ro opt this viceratione, before it be fullye ma-
rure,andripe, tovnburthen, and relcaſc that
parte therof, becauſe the bloode vvhich iſſu-
eth outofthe forclayed viceratione, diminil-
heth & interceptcth the paync,and inflamma
tione therof, admineſtreth better paſſage vn-
ro the meate,anddrincke,and finallye, prol6-
geth the breathe, Iris right true, that vve all
vyaycs in the firſt, ought by all meanes ende-
voure to mitigate the payne , and coolcthe
calidityc of the viceratione as much as is poſ-
ſible. .

If ſoc be theſe ſayed AlmGodes, are groovve
ſoclonge & harde, vvith outanyec hope to re-
duce them agayne tother former & naturall
eſtate, & beinge, vve muſtas then vic the ma-
nuall of Chyrurgerye thervato, cther by cut-
tinge of the ſame, or els throughe inſciſfione:
ifſoc be there be nothinge to hinder or be a
let heere vnto, then the ligature vvcare moſt
convenient thervnto,and eſpeciallye,vvhe as

t; vvefearcanye ſuperfluous bleedige. V V hich
ne verye convenietlye may be done, vvith an in-
on1n the ſtrument,onethe ſame forme and faſhon , as
alm6des, hefore yvc haye rchearſed, in the tyinge of the
— pallate, ever obſervinge, that vye cutttherof
vento noc more, then isneedfull, contentinge our
longe& ſelvesthervvith, nottocut therofanye more,
"95 thenthat vyhich ſurpaſſeth his naturall mag-
nitude, & greatnes: becauſe that throughe the
largenes and romthe of the throte vyhich by
this diſſetione might chaſice, there be not ir-
rirated and occaſioned tofollovve,all ſuch ac-
cidentesandinconvenicces, as before vve ha-
vediſcribed, of the pallate yvhich is ro ſ{ horte

Signes
hovve to

— — c—_

_ — ws

cut of, oranye daungerouſe bleedinge, if ſoc
vvedeſcideandcuttit of vnto the naturall, &
ſovynde fleſhe, of the forerchearted almon-
des, becauſe of the greate vaynes vyhichthere
vnderlyediſpearſcd.

Bur before vve proceede unto this operati-

| one, vve muſt contlider, vyhether they be not

of ſome canckeroulſe nature , becaule thole
vvhich are canckcrouſe may not by the ma-
nualle, operation of Chyrurgerye be curcd:
they are moſteaſyeſt knovvne, vvhen as they
are harde, of a purple coloure, rugged, full of
payne,and haveagreat roote. Butifthey be
pale royynde,tcnder, ſmoothe, and belovve
thinne, yve may as then vvithoutdaiiger tyec,
andcuttthem of. And in as much as concer-
neth this operatione, the hiſtoryc of Albaca/is
{ hall at thistime ſuffice,to inſtructe the yon-

' ger Chyrurgian, to imitate the ſame, vyhich

aftirmethe to have hada vvoman in handes,
vvith ſuch an viccratione vyherbye her thro-
ate vvasallmoſt occluded and ſtopped , that
vvith greatdithcultlye hee reſpircd, & brea-
thed, ncther coulde ſheeanye more cate , or

; drincke, beinge in greate perill, & daunger of
| death,if foe bethatin thateſtate ſhe had con-
' tinued but oneday longer, in yvhome this v1-

— —

ceratione vvas ſoc extreamlye ſyvollen, that
it had yet ſpreade it ſelfe a broadec into tvvo
branches more, intothe noſtrelles. ln vvhich
greate necellitye,and perplexityc, vvith al cx-
peditionehe tooke,a little hooke, vvhervvith
he layed houlde one the one branche therof,
vvhich vvas come intothe noſtrelles, vyher-
vvith hedrevvetorth therofa reaſonable qui
titye,and then as deepe as he coulde, he cutr it
of, & havinge done the ſame, in the other no-
ſtrell allſoc he hath aperted and onened her
mouth &depreſlinge the tunge dovvnevvar-
des, hath taken houlde on the ſyvellinge and
tumefactione, vvitha hooke, & allſoe curtt a
great qvantitye therofe, vyithout anye greate
itore of bloode iſſuinge out of it: This beinge
finiſhed, the miſcrable & poore yyomi hath
immediatlye opened her mouthe & beganne
to cate, & drincke yvater. At other ſcaſons al-
ſoc therafter he hath cut avvay ther fro other
peeces, but yet notvvithſtidinge,as of tE & as
muchas he deſcided & cut therof, is increaſed
agaync & grovynethervnto: vyhich vvhe he
had marked, he cauteriſed the ſame, & by this
mcanesin the end hath przvearcd the cxcre-
{cence of this tumefatione:but beinge con-
ſ{traynedto take his iourny to ſome other pla
cc,coulde never heare, or by any man vnder-
ſtande, hovv it happened therafter vvith her:
& it may right vvcll be thought, that the cau-
terifinge of this diſſeale vnto his roote, could
notinanye ſortc increale agayne, as before it
had done,

G ij It hap-

The c-ne
kcrout«
almoncics
mav no:
be tyou,
NOt CUT
ot.

Hiftorre
ot A lbu-
Calls,

Fol.:6.

The Frenche Chirurgerye

It happeneth allſoc ſometimes, that the Al-
mondes ſoc chaſice to ſvvelle, that ther is noc
hope left, that vve ſhoulde perforate,or thruſt
chem throughe, or to binde & tye thE, becauſe
ſomtimes itis impoſlible forthe paticat to 0-
pen his mouthe, & not beige able in any ſorte
to reſpire, muſt of neceſſitye dye: vybich per-
ccavingeto be in ſuch an eſtate, yveare then
conſtrayned in our ext.came neceſlitye,tora-
ke our laſt refuge, vnto the makige ofan inſci-
ſfione in the throte, orTrachea arteria, rather thE
vvith our eycs behoulde the patiEt toſmother

& choake. VVhen as therfore vve vvoulde
effec this, vve muſt cauſe the paticnt tolye, &
leane on his backe,and hange his heade back-
vvardes, becauſe the throte, orTrachea arteria,
may evidentlye ſhevve it ſelfe ,then vve muſt
vvith our fingers, take hould on the ſkinn,of
the third, or fourthringle of the throat, vvher
vvith the foreſfayed, circles, or royyndes of the
throate are covered, & lifted vp, novv this be-

of the teeth. Thoſe tecth vvhichare ſlimye, &
ther6,a blacke, yellovve or vyhyre tough mat-
ter, & (times like vnſliſſed lime, or as it vvca-
reſome putaminous ſubſtice,chaunced to be
thero obdurated, & hardened, vve muſt vyith
alictle ſcraper, or inſtrument, for thar purpoſe
make thEcleane & purifye the, vvithout hur-
tinge of the gimes, & looſeninge of the ſame,
becauſe that ſuch tecth vyhich arc heervvith
polluted,are not moſt comonlye very faſt:the
aged poeple, & the rheumaticke, they vvhich
are trovbled in the liges, or vvhich haveanye
diſſeaſc inth= ſtomack, vvhich in times paſſed
have binne infeted vvithe the poxe,are com-
m96ly ſubic& vntodiſſeaſes of ther teeth: vyhE
as this increſces is not as yet obdurate or hard
yve may then vvith more facilitye removethe
ſame, & in the firſt vve muſt vvaſhe the giimes
as vyell of the one as the other vvith a little al-
ume vvatrer vyherby the increaſinge of this
matteris ſovvhat prevented, & retarded, & it

—

faſteneth allſoc the gummes vnto the tecthe, jor eng
vv he as they hige looſclye thers. Some there yjone of
are vvhich eſteeme this a greate ſecrete yvhich theau-

inge,ſoc heaved vp, vve muſt accordinge vnto
the logitude therof make the inſciſio, vvhiche

beinge cut throughe, & agayn let fall, vve { hal
as then perceave the throte bared , & if ſoe be
therone vve eſpyedany vayn, vve muſt detru-
dcirone the one ſyde & eſchevve, oravoyde
the ame. VVhich beinge effeted, vve muſt
vvith rhe poyncte of a croocked lancer, make
ourinſciſione thvvarte over, betyvet thethir-
de or fourth rotiiditye or circle,quite through
the mEbrane , vyhervvith both the foreſayed
cartilages,or circlesare the one vvith in other
vnited, & holden together, of yyhich betvveen
the both is ſituated, vvithout touchinge ether
of both theſe cartilages, or rovyndes, intothe
concavitye of the forclayed Trachea arteria, or
throate, vvhich caſyly vve may perceave vvhe

heertofore I my ſelfe have vied, ro vvitr, that
vvetakea little Aqzaforrrs, anda little ſticke,as
thicke as a quille , the one end therof beinge
dipped in this vyater, vvith vvhich cnd of the
foreſayed ſticke, vve muſt vyel rubb the tooth
thervvith,dilligerly obſervige, that noedrop-
pe therof chaſice to falle one the lippes or gi-
mes, & immediatly the tooth being heervvith
rubbed, vve muſtas then vvith a linnEcloute
vvipethe toothe, thelinne clothe beinge ma-
deficd in could yvater therbye todiſſipatefr6
the tooth the tartenes therof, vvhich the Aqua
fortts hath left behinde it, cauſinge the patient
immediatlyto ſpitte, & therby the toothe vvil

as the breath iſſucth forth of the vvounde : in
the vyhich vvound, immediatlve therone, vve
muſt impoſe a ſilvern,or gouldE pipe, becauſe
ther throughe duringe ſome ſhorte ſpace the

be exceedinge yvhiteas ſnovve. It ther bee For rorts

any tooth corrupred, foraminous, concavous |

& ſtinkinge, & that cavicth ſometimes great jo.
doloure, & payne, yet notvvithſtidinge vveal teeth.

.

CF

patient may breathe. This ſayed pipe muſt in
the one end be ſomyvhat broade, vvitha thie-
de theron faſtened , becauſe that through the
dravvinge of breath, it doc not chaunce to be
dravvnc into thethroate. Novve the daunger
of choakinge beinge paſſed, vve muſt as then
rake it therout agayne, becauſe tkat the vvoin-
de,vvith convenient remedyes may be cured.
Hove We ought to dra\ve,thruſft out, and cut,of

the teeth. Chap. 7.

y Here are divers diſſcaſes inſci-

vvayes endevoureto przſcrve him, cther be-
cauſe he iscomodious for chavving, or ſervi-
ceable for the ſpeech, orels is fora decorii or
grace vntothe mouth: tothe repellig of vvhich
payne, vve mulſt vſc a little oylc of Sage, of ro-
ſemary, of cloves,or any other oyle,of aroma-
ticalle ſpices. And ifſoe be thervvith the pay-
ne, & the corruptione be nor ſeaſed, vve muſt
as then vvith Agquafortis cauterile the teeth, or
vvith oyle of vitroll yyhercin vve muſt dippe
and moyſtea little cotten, vvhich neatlye vve

- bn 4 8 dente vnto the teeth , vyhich || muſt thruſt into the cocavity of the toothe: &
vicall ope th KE (F throughe the manuall opera- ifſo beall theſe remedyes be not ſufficiEr, ther
rations. A XX tion of Chyrurgerve muſt be || isas thEnocſurer,or better remedy,thE is the

{79 FARSI cured : as by cauteriſinge , of

- V; the ſame , & by diſſipation of
the gfimes fro the tocth, by filinge, by cutrin-
gc of, by dravvinge by ſcrtinge, by cuttinge in
therofe, & by allegation & bindinge together

vſc of the atuall Canterizs, vvhich muſt be pro-
portioned verye little, & accordinge vnto the
concavitye of the tooth.

Other Chyrurgians ther are vvhich hovvld Whye vve
in greate cfteem the tfilige of the teethe, vvher 1,

they

a aa Xx Macs

ve

of laqves Gvillemeau.

they be corrupted, vvhich I alſoe eſteeme to
be commodious, vyhen as convenicntlye it
may be effeted, & yyhen the tooth is corrup-
red but on the one ſyde therof: for by this me-
anes vveſhall intercept, & hinder the corrup
tione ofthe next toothe ioyninge thervnto,
that he be nor thervvithe polluted above 0-
ther commodityes , vvhich therthrough vve
{hal effect.

Teeth © Thergrovveth oftentimes a tooth higher,
venee then the other of the teeth, ether vpvvardes,
} ourvvardes, or invvardes, the poyntte vvher-
withan ofis ſocaccute,that in ſpeakinge it ether hur-
acuity®. teth the tunge or the lippes. Alſoe ſometimes
the teethe ar rugged & vnſmoth above, vvher

fore they,one the toppes & ſummityes therof

be filed, by this mcancs to make them ſmo0-

the,as the other. And convenientlye to vie

the file theron, & to cauſe that the toothe doe
notchaunce to ſtirre in the filinge, vve muſt

hould faſt vvith our fingers the forefaycd roo

the, layinge certayne peeces of linnen on the

mmes, vnto the rootes of the coothe, VVe

may muſt file of all ſuch teeth vvhich extrud them

ſtand our ſelves externally, vvill not becotayncd in the
ofther ſemicircle of the other teeth , or they vvhich
—_— arc broke, & a little peece therof as yet remay-
arebroks ninge in the place, leaſt they might chaunceto
&vvher- hurte the tung, or the mouthe. Conſerninge
—_ the ſupernaturall teeth , becauſe it yvcare to
neth ſom great paynes & labour to file thE,ir is alſoe ſo-
© metimesdaſigerous todravvethes becauſe co-
a molye they arc grovven, & ſtickeverye taſtin
the cheekebone, vve cut the of vyith our cut-
Superna-, ting pellicanc,or inſtrumEts vvhich onlye for
_ that purpoſe are copoled & made, &are beto-
re figured & ſet dovyne in ther formes: vve all
ſoc breack the ſometimes4place of cuttinge
of the, vvith ſuch initrumettes as heere before
arc prefigured vnto vs: but the beſt vyay is to
cut the of, if by any mcanes poſlible vve ci cf-
For great fete it. The payne of the teethe isat ſometi-
[ow - mes {oc vehemet & intollerable, becauſe that
inthe thetooth,is corrupted vnto his ſynnue, pear-
wethe, ced, & is hollovved, that the perſone, is almoſt
phreſye, & coſideringe that there is ſomtimes
noe remedy to be hadde, for the quallifyinge
of this payne, he is as then c6ſtrayned to caule
the ſaycd tooth to bedrayyne, vyhich as then

is the certaynſit vyay.
Hovy wwe VYVYhe as therfore vve vvoulde dravve forth
—_— a tooth vve muit cauſe the patiEt ro fitin ſuch
woth, aſorteas is moſt covenitt, & thE make choyſe
of the corrupted & rotten tooth, becauſe vve
doc not miſtake the one for the other, vvhich
vve muſt make looſefro the gumes, & fill vp
the c6cavity or hollovvnes of the tooth vvith
alittle pcecc of leade, or yvith alittle lint, or
cotteE ſticke it full, becauſe in the Pellicane he
chaiice not to breake, through the harde \ hut
tinge of the ſame:havinge houlde theron, vve

—

—_y

Fol.27,

muſt getly & eaſylycruſhe rhe rooth dravver
together, leaſt the tooth chaiice to breake, and
thEdravvinge the forefayed tooth a little a {y-
de plucke him our, becauſe that if to rigorou-
{lye vve vvaggle the tooth yp or dovvne that
parte of the checke bone vvherin the roote
ſtoode foe faſt, might caſylye be broke , vrhe-
refore he vvill not vvith to greate violence be
drayyne out, asalſoe by to violent dravvinge,
vve mightdiftioyne,and plucke out of ioyncte
the nethermoſt cheekebon, & cauſe great per
turbation in the vppermoſt chavyve eve tothe
eyes. Thetooth beingedravven , yve muſt 71. 1jes
vvith both our fingers ſhutt, & ioyn together
agayn the gummes & cauſe the patiet to yyal-
he his mouth vvithalictle Oxycrate, vyherin
vve muſtalſo purina little fault. If ſoc be ther
vvearcany cffluxi6 of bloode, vve oughtnort
tocſtecme ittobea ſmall matter becaule I ha-
ve knovvne ſome to bleed theſelves todeath.

The aſſuredeſt remedye yyhich l ever have
knovvne to be vicd, is this, thatdivers times,
vyvemuſt thruſt therin ſom cotte, vyhich hath
binne madetyed in iuyce of IEmones, vvhich
allvvayes vve muſt put in that place, out of the
vyhich the tooth vvasdravyven.

And touchinge the convenicce of the liga- ager
tione,ortyinge of the teeth, to ioyn thEroge- vyhar ſor-
ther, &to inſerte & ſerfaſt thoſe teeth, vyhich *© *'©
are looſe, & grovve to be moveable & may be an. 6
vvaggled vp & dovyne, &alſoc to inſerteanye ricth,
therin vvhich by arte ar made,all this may ye- {hu w—_
rye convenictlye & fitlye one this manner be == pen,
effected, vvith a fync gouldE yvycr of finc ori- vvhich a-
cntall goulde, vvhich vve may caſylyc bende *< !091e,
& bovve, betyvecn the foreſayed tecth vvith- = ou
outany violence. Firſt dubblcthe vyyer, thoſe
laying the ſame vvith his duplication, betyyee venue
netyvoſoyvynde tecth &then bringeboth the 57r2r>®
cndes, to that tooth vvhichis looſe, vvherher made.
itbe one or more, vntill ſuch time as vve {hall
havedrayvne vnto the ſeconde ſounde tooth
one the other ſyde'\, then yve muſt reduce the
vvyervntothat tooth vyhence vvc tooke our
originalle , gentlye dravvinge the forcſayed
vyyer together,cloſc to the roote of the tooth
leaſt that he goc looſe: Chis beinge done vve
muſt vvith a pare of ſheares cutt of both the
endes of the forclayed vvyer vvhich are to 16-
ge, & vyinde the reſt therof royvnd about the
tovvnd tooth, as cloſe to the roote that the fo-
reſayed gouldE vvyer, may very difficultlye be
clpyed,netherin anye forte may perturbe, or
hinder the tunge. The tecthe not onlye bein-
ge looſe butalloc vyholye fallen out, vve may
tor all that inſerte them in there place, &tyc
them, vvith a goulde vvyer, as is before rche-
arſed, orels vye may ſet other tecth inther pla
ccs, vvhich are by art made of lvory,or of any Looke a-
other matters , as here beforc yvec have ſet fore in
dovvne the figures anddiſcriptionstherof. 97 Pau

s 5 , _

dinge of
the gum»
mes vyhe
asthe
toorh 15S
dravvnc
OUT,1S not
ro be litts
lc citce-
med of,

The Frenche Chirurgerye

THE SIXIE I RE

ATISE OF THE OPERA TE

one of Chyrurgerye Contayninge nineChapiters. |

Of that, vvherone vve muſt conſider, before vyve makean apertion in avayne. Chap.1.

Hovv vve ought to phleboromive, or open avayne. Chap, 2.
V Vhers vve ought to c6lider,after yve have opened the vayne, & vvhe ſhee bleedeth. Chap: 3.

Ofthe number of vaynes, & arteries, vvhichare vicd moſt comonlye to be opened. Chap. 4.

Of the apertione,of the Arteries. "T0 Chap.s.
Of Anevriſma,or broken arterye, hovve vve ought to makean inſcifionetherin, & after vvhat
manner vve ought to binde them. Chap.6.
Of the Cir ſoromia, vvhich is, hovy vve ought to make our inſciſion inthe Yarices , rJ—_
Vaynes. ap.7.
of dftcocher and of ther v{c,and hovy vve ought toapplye them. : Chap.s,
Of boxes,and hovve vve muſtapplye,and victhem. Chap.g,
23 Wheron Wwe muſt conſider , When as we deſirero |, ther be then any arterye touched, & opened, of ther
open a vayne,or phlebotomize. Chap.r. { hee veryedifficultlye vvilbecured, vvherby py
Jl er 24. Ye purpoſc,and intent,is not | | the patiEt bleedeth to death: & yvhEas vvede- vn.
one & AAS Þ in this place to diſcrib vnto || ſcidea vayne qvite aſunder , both the endes ſynnue,
porpole | CA I you, vvhat ſicknefſes require | | therofare immediatlye retrated, anddravvne mm inacy
ot the >\ g phlebotomye,in vvhatage,in || invvardes,the one end this vvay, & the other 47
= an—_ = ALS vyhat time or ſcaſon of the || end that yvaye, ſoe that vnder the fleſhe both
Yer yearc , in vvhatcountrye, in || ofthe endes are loſt, & noe bloode ci poſſibly
vvhat c6ſtitutio of the body, it muſt be done, || iſive thacrout:ifſhee be then vvith to great ti-
& of yyhat occalione,namelye & elpeciallye, || morouſnes &feare pricked, the ſkinne onlye
vyhether it befor anye ſimple evacuation, or || vvhervvith {hee is covercdis as the inſcided,
for anyedeprivatione, ordcrivatione, orfor || &the vayn not opened:orels if thee be onlye
any reyulſione. In like ſorte alſocin vyhat || pricked vvith the poynQe of the lancet , the
vayn vve ought to make the apertione, vvhat || bloodeas the iflveth therout droppingevvyle
| qyantitye of bloode yve ought todetracte out, || and the ſubrileſt bloode onlye cometh out,
#1 of the ſame, in vyhat ſorte, and hoyv muchat || vvher coſeqvenily therafier ſhe exvicerateth.
| onetime , hovve often after the other or in Sometimesalſoclycth the vayne occulted
| vyhattime of the licknes vve muſt make the ||] ſocdeepe in the fle{ he, that yve can not vvith
(] apertione in the vayne. the licert finde the, vvithout great paynes, yea
. ' But my purpoſe,and meaningeis, onlye to || alſo &elthough vvceſpye them, yer throughe
ſhevve, hovy vveought to opEa vayne: vyher || there perpulillitye, & rotiditye, they avoyde,
| on vve muſt thinck, &dilligentlye conſider, || & eſcheyvethe poynQe of the licer, hovy ac-
before vve make the apertione therin , after || cute & ſubtile ſoever the ſame be. Soe that
I vve have opened her: & vyherone vvc ought || therare oftEtimes divers occaſions, vvherfore
to not, vvhe the blood ifſveth out of the ſame. | phlebotomye is difticulte, vyhich toan other
| This doinge, ſhall the Chyrurgiane , be noe || vyhich never hath done it ſeemeth to be very
| Icſſe vvorthye of prayſes, becauſe he ci verye | calſye.
| exccllentlyc phlebotomize, then the phyſiti- || Betore the Chyrurgian maketh his aperti6
2; one is prayſc vyorthye, by his perfe&t knovv- | inthe vayne, if ſoc be the patiet be reſtringed
ledge, vyhether the patieEt have neede of phlc- | | & bovynde in his belly, & hath in a loge time

Why phle botomy,or not:Foralthough,that it ſeemeth |! not bineat ſtool, vve muſt the firſt of all cau-
boromyc to bea ſmalle ſcicce,to phlebotomize aright, || ſe him to viea Cliſtere, becauſe throughe the
- _— & very vvel, yet notvvithſtandinge is it often- || phlebotomye, the vaynes beige evacuated, &
g:rous. times, a difficulte matter & veryedafigeroulſe, | empricd,doe not attracte, & dravve vnto the

becauſe the vaynes,ar ſituated ſomtimesclole || out of the guttes or cntralles, any corrupted,

tothe Arteryes , yeaalſoc thervppen,asalſoe | & rottE humors, vyherbye anyec of the yyor-
Acci- Aarethe ſynnues, & the tEdones. If foe be ther- | thyecſt partes might be oftende, & hindered.
dences foreyvechaunce , vvith the lancetto hurtea | Netheris phlebotomye expedite, vvhen as een,
vyhich Tendone,therafter moſt commonlye iſſucth |; the ſtomacke,is burthened, ether vvith anye = ler
ra Fagan a x 6 ſmus, ora Gangreneand mortificatione, || cruditye , of vndigeſted meat , or drincke, before
ke ther Vyherthroughe the pariet pitifullye & rueful- || or vvith anye other viſcolitye vvhatſocver, as -—_—_

originall lye,and yyith great torment endeth his 1yfe. If |! alſo it is yyholye diflyvaded ro doc aftcranye
greate

of Iaqves Giillemeanu,

greate evacuatione, oranye other occalione,
vyhetby the patient might be debiliratcd, as is
ſuperfluous parbrakinge , a great laſ ke,great
abſtinence, continualle vigilatione, and great
converſation vvith vvocmen. V VhEas ther-
fore the Chyrurgiane inthe abſcnce of the
Phyſition, hath on all theſe forclayed thinges
dilligentlyc coſfidered, he muſt as then deferre
the phlebotomyc. And ifir foe chaunced, that
anye perſone to przvent any diſleale deſired
to be phlebotomized, he muſt then caulc it to
bedone, vvhe as he is beſt of courage, as bein-
ge freede from all care, of forrovve,of ire,and
beſydeall this , vve mult not phlebotomize
anye perſone, yrhich is totimoroule, & fear-
full of phlebotomye, becauſe the atrighted-
nes, & the feare, cauicth the bloode to vyvith-
dravvcit ſelfe tovvardes the internall partes
of the bodye. |
Hovve AndthepatiCtasyet bceingeluſtye, & ſtrog,
ve ſhoul yye muſt then cauſe himto lit in a ſtoole, but
"—_ if ſoc he be feeble &debile, & is ſubicted vn-
phleboto TO fayntncs & ſovvndige,as thoſe are, vvhich
mize, arcofa hottnature , vve muſt in the firſt let
him ſuppe ina ſoftdreſſed egge, ora moriell
of breade ſopped in vvyne, & then cauſe him
rolyc orc the bedde, halte {ittinge vpright, &
ſ{tuffhim vader vvich cul hEsas it he fate. And
above all vve muſt dilligentlye note, that the
light of the ayre,or ſhining of the candle,doe
rightlye ſhine one the vayne , becauſe that
through the ſhaddovy therofe, the knoyvledg
of the vayne, & of the place vyhereſhe mult
be pcarced, be not vanil hed out of your ſight:
then muſtthe Chyrurgiane , vvith his right
hande, take the right hand of the paticnt , or
vvith his left hande,the left hide of the patiet,
out of the vyhich he meancth to drayve the
blood out depreſſinge the arme {ovvat doyvn
vyardes , andthen vvyith his left hand , or
vvitha vvarmed table naptkinne , rubbe the
inſyde of the arme vvher he intendeth to ma-
Dube ke the apertione : And then binde the arme
bande in dubblea little above the elbovve, vvitha lirtle
Phlebo- narrovve liſte of yvollen clothe, not to ſtiffe
wnyce. norto looſe, becauſe to looſclye boyynde, or
roſtifflyc tycd doc both of them hinder the
blecdinge: thE muſt the patiCcr, ſhutt his hand
cloſe, vyherby as vve!l throughethe binding,
as throughe the clolinge of the hide, the vay-
nes lyc faſt & ſtedfaſtlyc in the fleſhe,and nor
move this vyay or that vyay vvhe vve ſhould
pearce them , vvherthroughe alſo they rayſec
themlielves,and fyycll the more, throughe the
bloode, that by this meanes is dravve thether
vvardes , by the vvhichalloe vve may the ca-
ſyer ſec,and feele them.

e9gHoW We onght convenientlye,to make an aper-
tione in the vayne.Chap.2.

— ——

giane,determine to phleboto-
» miicintheright arm, he muit
**=v&Gcar2 then take houlde one the fo-
rclayedarme vvith his left hande, by the ben-
dinge of the arm, or about that place, vvherin
vve purpole to make the apertione, & lay his
thumbe one the vayne , alinlc beloyve the
place, vvher vve vvil pricke , becaule that ſoc
he may hovvlde the vayn ſtedefalle, vvithour
glidinge this vvay or that vvay becautc lome-
rimes the yayne bcinge, ſpanacd like alittle
cord, might chaunce to royyle, & glide vndet
thelancer. And becauſe the forctayed vayne
is oftentimes implete vvith vvinde, & vetoti-
tyes,l hee therefore yeeldeth , & fliderhavvay
vnder the lancer, vvherthroughe vve can not
fullye pearce her, & by this meanes the aper-
tione falleth ro {mall : all this beinge in this
ſorte noted, vve mult vvith the firlt tnger of
the right hand fecele yvhere vvith moiſt conve-
nicnce vve might make the apertione,tetiing
an impreſſion on the {kinneabove the vayne
vvhere vve purpoſe to pricke, vvith the nayle
of your finger, & then immediatlyc, take the
lancet in the right hande , vyhich betvyecne
our lippes vve mutt have ina readines, vvith
the vvhich vve finclyc mutt make our 2perti-
one, in the vayne,caulinge the poyncic, and a-
cuityc of the ſame, gentlyc to enter into the
concavityec of the vayne, & not abruptly, and
rudely, vvitha haſtye thruſt. And to make this
apertione vvith more certayntye, & vvithout
tremblinge of the handes , the Chyrurgiane
muſttake the lancet inthe middle , vvith his
thumbe & his firit fcnger, ſufferinge his hande
vvith three of his fingers to reſt on the arme,
& (olay his thumbe and his firſt tinger vvhich
hould thelicet one the thumbe vvhich houl-
deth faſt the vayne , on this fort to hould taſk
his hande, & vvith out anyetremetactionc to
vic the ſame. Some there are vvhich annoynt
the place vyherin they intzndeto phicboto-
mile, vvithalirtle oylc, or yvith fret he butter,
thervvith ſomvvhat to mollifye, & foticn the
{kinne,& ſoc vvith more caleand vvith lefle
payne,to pearce ther throughe. Others an-
noynte the acuitye of ther lancet viith oyic

» Co

y Avingedilligetlyeconfidered (.
| all thete thinges if the Chyrur ance ©

the man

ner 1:21: ts

lyc £0

photo

VE.

To mo!!y-
fve che

becauſe {hee might the caſyer pertorate the ſkune;

ſame, & caule leſlce payne, the pertoratione, or
vyounde might better contaync it {elite apert
& the blood if ſoc be it vvear grofie, might the
ſ\ubtiler, & vvich more calc have his pallage.

It ſoe be then that the apertio be made vvith
one thruſte, it is the good, but if not, vve mult
immediatly give an other pricke, cther a little
belovve the ſame, or cls a little above the ſam,

| if the vayne ſufficicetly demoſtrateth her iclte;

If therfore the apertio be to tmall, & the blood
iflue

— * «Xs i & 4 OO OO I II

X y m_—
——

— —— —— —— — IEP mo OW.

EN

iſſue our of the ſame to ſubtilelye,ſoe that vve
fcare that vve ſhall not dravve ſufficiEt blood
enough therout, then immediatlye vve muſt
thruſt into the ſame hole, or apertione agayn,
& alittle dilate the ſame: becauſe that oftenti-
mes throughe ro ſmall an apertion, the grofle
bloode congealeth before the apertione , and
ther conſeqventlye exviceratethe.

Why vve Havinge convenicntlye brought to paſſe
m=__ © thisapertione, vve mult then give the patiet,
4 wg in the hande of thatarme vyherin he is phle-
ther hade botomized,a roiid ſtafte, partlye thers ro reſt

4 qe .. hisarme, asalſoe to turne rovynde the fore-

botomize layed taffe in his hande, becauſe by this mca-
nesthe bloode might the better ſhoote out:
{he vyhich ifir doe not rightlye iſſue out, vve
muſt the marke, if the ligature be not the cau-
ſatherof,as if it yveare to harde tyede, vyvhich
as then yve mult alittle diſtricte and make it
looſe , vvithout vvholye looſeninge of the
ſame.

Broade, The Chyrurgiane muſt alſoc havedivers

&nar- Iancets, vrherof the one mull. be a little broa-

rovy 1an- der then the other: The broade lancets are ve-
=T rycneceſſarye vyhen as the vaynes lyc highe
exalted, & vyhen vvedelire to makean ample
apertion. The ſmalle narrovvclancetsare.ve-
rye neceſſary, vvhEas the vaynes lye profoiid.
lye occulred in the fleſhe,andalſovyhenasin
the highe exalted vayne, vveceſyre to make a
ſmallc apertion : becauſe ſometimes the licke
perſonne, reqviretha great, & feſtivous phle-
botomy,to the vyhich end, vve muſt make an
ampleapertione,as vve muſtalſoe doe, if vve
coniccture the bloode to be groſle, &dEce,&

vvhen the paticnt is luſtye, and ſtronge.
Contrarilye, if ſoe be vve retraQt, &dravve
back the bloode, vvhich ſupernaturallyc hath
iſſued out of any parte of our bodye,as in tho-
ſe vvhich, ſpitt bloode, or thoſe vyhich bleede
much our of the noſe, as then vve mult make
ourapertion ſmalle, becauſe that great cvacu-
ation of blood is not neceſlarye forthem , be-
cauſe through there noſes they have avoyded
ſufficient, then onlye in ſuch accidEtes, vyher
inisonlyc required a regreſſione of bloode.
Beſydes,it is neceſſarye & expediCt,thatin the
foreſayed evacuatione,and licknes, vve ſuffer
the bloode to iſſve longe cnoughe out of the
apertione of the vayne , vvhich the paticnt
ſhoulde not be able to ſuffer, if the forclayed
apertione vvcare ample, becauſe ther vvould

iſſue to much blood othervviſc therour.
Io the ; VVearcalſoin phlebotomye vrged to make
SS” nc! a ſmall inſciſis,in thoſe, vvhichare troubled
0 Wir vvith Phreneſye, & in thoſe vyhichare grovv-
buta ne madde, becauſe that little vvounde might
-4 wg vvithall expedition be cured agayne, becauſe
tharſuchraginge.& franticke perſons vvillall
vvares makcloolethe ligature or dreſſing be-

The Frenche Chirurgerye

fore vvear therofavvare, vyherof they might
comin daunger of blecdinge todeath, but the
apertione being ſmalle,although they looſen
the arme, yet notyvithſtandinge they can not
violently blecede becauſe in ſuch a ſmall aper-
tione, the bloode congealeth, & occludeth , &
ſtoppeth the vvounde. VVeoughtto make
in ſmalle vaynes,a ſmalle apertione, & in gre-
ate vaynesan ampleapertione#or it io be vve
make in a greate vavnea ſmalle apertion, thE
ſhoulde neceſlaryly follovve, that the blood,
vvhich coagulateth in the ſmall vaynes, bea
hinderice vnto the iſſuinge or runninge out
of the bloode.
Touchinge the forme, & figure of the inſci-
ſione,it iseffeQed in three ſundrye ſortes,and
fal hons:vyherof the firſt is made overthvvar-
te,the ſec6d accordinge vnto the length of the
vayne , vyherthroughe the vayne is cleftor
ſplitted, & not pricked:the thirde is the meanc
betvvcene them both , vvhich vve may vvecll
call the contraditoryc apertione, becauſe c6-
traditorilyc ſheeis made. VVe make thea- Threefor
pertione overthvyarte , vvhen as vveare not _
minded to reiterate the phlebotomy: for vyhe phleboto
vve bende the cll|bovve,the both the endes of Myc.
the vayne ioyne rogether agayne, This figure
orformc is neceſſarye, vyhen as vve deſire to
makea large apertione. V Ve muſt makethe
apertione {ydelonge or contraditoryc, vvhen
vve purpole to itcrate the phlebotomye : and
vve makinge theapertione in this manner, ve-
rye ſcldome or never miſle the vayne : and
vyhich is morc, it is better for the circumſtan-
tes, and ſtanders by, vvhen the bloode in this
manner iſſucth therout. Thar inſciſfione,
vvhich is made accordinge to the legth of the
vayne, is verye expcdicnt, vyvhen vvcintende
torenuethe bloodelettinge, & that not onlye
the ſame day, but one the next day alſoe , be-
cauſe that yyhen vve bende rhe elbovve, both
the labia,or lippes of the vayn , do (cparate &
devide themſelves. .
But in vyhat forme ſoever yve make the in- The
ſciſione, yet notvvithſtidinge the vayne mult ,c tee
be pearced in the middle , vvithout vvyholye be inſc-
cuttingea ſunder of the ſame. Becauſe her lip- ded nid
pes, might chaunce to be inverted invvardes, "1
and the bloode could not reſulte out of the a-
pertione, butrunne dovvn alonge by the ar-
me,or both the endes of the vayne, arc drayveE
invvardes, vvithour deliverice of anye blood
from her,orat the lcalt,in the firſt very little.

23 heron We ought to marke,after the thrufle , &
apertione of the vayne,and When the
bloode iſnerh therout.
Chap.2.

VVe

4-23-44 EE" TOES

Y CEhACH

ES3T3 28294

of laques Gvillemeau.

E may knovve, that the vayne

Alchough moſt commolye is vvcll ope-
— ES ned, as calily vve may percea-
opened, g/a=3- ve by the bloode, vvhenas in
perſon. we WAVSES the firſte, it rout heth and as it
coppe c ern yycarc lcapeth out in great
he abgh haſte, but immediatly altereth vntodroppin-

_ & ge,vvhich throughe the afrightinge of the pa-

_w ticnt is cauſed, for vyhich reaton the bloode is

dravven invvardes. V V hich vvhen it chaun-

ceth vnto vs, vve mult vvith patiece abyde, &

and vnbindeit ſomvyhar, andincourage the

paticnt,cauſinge him to move his fingers, &

Grofſs turne,andcruſh the ſamein his hande. The

bloode apertione in the vayne is ſometimes ample

doth 2 cnoughe, bur becauſe the bloode is groſle,ir

but can not iſſue out therat, tothe vvhich end vve

pe- muſt puta little oyle therine , vyhich tothat
parpole is verye profitable,

If foe be therfore the Chyrurgyane, in ab-
ſence of the phylitione, findeth the patict ve-
rycfceble, and yet notvvithſtandinge, follo-
vvinge the rule, & ordinance of the phylitio-
ne , is veryc neceſlarye to be vvell phlebo-
tomized , vve muſt them doe it provident-
lye, thatalthoughe , at the firſt vyve have not
dravyne ſoc much blood as the ſicknes or dit-
ſeaſe requireth, vyve muſt then, ſome certayne
hovvres therafter agayn renuec the phleboto-
mye forthe ſeconde time,and if it be needfull
yet once agayne,for the thirde time, vvithout
over charginge of the paticnt vvith togreat
phleboromyec at one time.

It might alſoc chaiice, that before vyve could
detracte ſuchaqvantitye of the patiCt as vvas
ordayned, and required, the patient might
chaunce to bedebilitated, and in daunger to
fall in great fayntnes,& ſovvyndinge, vvheron
the Chyrurgiane muſt dilligentlye contider:
as he may calyly perceave it, vvhen the patier
vvaxcth palc, and oppreſſed at his harte, his
pulsdiminiſ hinge, & vyhen the bloode run-

What vve 2Eth dovvne by hisarme. VVhich vvhen it
htro Chaunceth, theChyrurgian muſt then imme-
doe vvhe diatlyc ſcale the bleedinge, layinge his thum-
bene ny be,one the apertione of the vayne, & lay the
fayntinge paticnte on his backe , vvith his heade onc a
to - cuſhen,ſprincklinge could yvyater in his face,
proch the _ nd give hima little yvyne in his mouth, and
cauilc him to ſmell at ſome vineger, and then

havea little paticnce, vntill thatagaynche re-
viveth, & comme to himlclte : for as ſoone as

he ſhalbe come to his former ſtrength agay-

ne, vve may as the finiſhe the phlebotomye.

The p- Some ther are vyhich inanye fortecan not
wet Iying indure phlebotomye, hovy lovve ſoever they
_ 7 ſitr, althoughe it vycare on the bed, or althou-
m_—vye ghe vve corigally helde vineger before ther
mm noſc,or gave them yvyne todrincke, yet not-

vvithſtagadinge they lyinge proſtrate on the

Fol.29.

bedd, vvith ther heade reaſonable highe, they
can asthe verye vvellſufferand abyde the fo-
relayed phlebotomye, althoughe vve dravve
a goode qyvantityc of blood from them: As of
late I my ſelfe have knovvne to happen, in an
honorable,and coragious gentleman.

Afrer that vve have detractede a rcaſonable
qvantitye of blood our, vye muſt then diflol-
ve and make loolc the ligature, and cruſh our
the bloode of the vayne, leaſt that the bloode
chaunce to congeale therine, and coagulate,
and ſoc exulcerate:and if ſoc be ther appecre-
deanye little parcell of pingyvedity,or fat, vve
muſt the gentlye thruſt itinagayne vvith the
heade of a pinne, andnotcutt it of, and then
vvipe of the blood vyhich cleaveth & is drycd
or exciccated to the arme, lay a little copreſle,
onetheapertion, vvhich is madefyed in coul-
de vvater, and vvinde the ligature, tvvicc or
thriceaboute the elbovve, like a borzondian
croſle, vvithout tyinge both the endes faſt, be
fore you have cauſed the patient to bende his
arme,to laye the ligature therafter. This liga- The Liga
tione may not beto ſtiflye boyynde, becauſe {12"< of
rhe Cicatrice by this meanes, may gvicklye be = ——_
{itvatede on the apertione of theEFayne . The phleboto
arme beinge thus fouldede together if'ſo be ©
the patiente beable ro vyalke he muſt vvcare
his arme before on his breſtc in a ſcarfe & if
ſo be helye on his bedde, he muſt gently lay
the ſame beſyde him , vvith out much mo-
vinge of the foreſayedarme , nether muſt he
lye therone:for ther have binne ſome, vvhich
in ther fleepe have hadde ther armes vio-
lentlyeto bleede, vvithgreatdaunger of ther
lives. The bloode ifſucth ſometimes vvith Hovr vve
ſuch violence out of ſome partes of our bo- S_
dye,that vvith noe copreſles or ligatures vve gneblood
can reſtraygne the ſame: vvhich happeninge,
vvearetheconſtrayned-to lay above one the
toppe of the apertione, the one halfe of a gre-
ate beane, andthe compreſle therone, andin
this ſort bind it together,

Ther remayneth ſomtimes a nigreditye or Daunger
blacknes, & viridityc or greenes about the a- _ =_
pertione, but therof cnſucth noe cvell, vales ph nk
anye otheraccident chaunced thervnto. mye.

VVhen as therfore vvedeſire to renue the i as
phlebotomy, vve muſt then lay one the inſci- the phle+
ſione faulted oyle, becauſe that hindereth'the botowye.
curinge of the vvounde,andthe fault keepeth
the blood from coagulation, vvherthroughe
theapertione of the vyounde is ſtopped, And
it ſoc be the vyvounde vveare ſoc ſtopped, that
the bloode yyould difficultlye iflue therour,
vve muſt not then rigerouſly ſtretch out the
arme, Vyhich the patient hath catticed on his
breſt dubbed, netherdepreſle the vayn vvith
to great violence , to get the bloode therour:

Becaulc ſuch violece might caulc great payn,
H and

4
jF

—_ 7 >

and inflammatione, but yye muſt rather vvith
«6 le. 4 {mall privertor ſcarching iron, remove that
iromge. blood vvhich therin is exciccated & drycd, or
rather once agayne makean inſcifione, after
that vve have bovynde the arm ſomyvyhat hi-
gher, then the elboyve, as before vve have ſa-
yed.
Hovywvwve VVhenasvvedcſireto make an apertione
ought tO jn the yvaynes or arteryes of the temples of the
open the 4, ..ad,of the forcheade or vnder the tunge, vve

vayncs Or ; :
arteryces muſtthen cauſe the paticntgentlye to vvring

of th: t&- a bout his neck a table naptkine, ora tovvell,
- mel therby to cauſe the bloode to alcede,on high,
& the vaynes to ſvvel, vyhich yvcintendto 0-
Hovy vve pen. And vyhen as vve deſire to open the vay-
ought nesof the handes or feete vve mult bath them
theben invyarmevyater, becauſe throughe caliditye
nes ofthe & vvarmethe of the vvater, the foreſayed vay-
—_ & nes might cre& themſelves, & the bloode, the
vayne beinge opened, might the better iſſue
out therok.

a3 Of che number of vaynes,cr arteryes,Wehich com
monlye,vſe to be opened in mans bodjye.
Cha P4-

y He aunci@te profeſſors of Chy
5x2 rurgerye, have obſerved, cer-
\ raync vaynes, vvhich in mans
bodye muſt be opened, accor-
C & dinge as cveryediversdiſſeaſe
CAST SSY ſhall reqvir: vvherof theChy-

rurgiane muſt not onlye knovve ther ſituati-

one, & ther diviſione or ſeparatione, buralſoc

the names of the ſam, becauſe that he doe not

Vavne of Miſtake the one from the other. They vyhich
th: fore= moſtcommonlye are opened, are 41. vyher-
heade. of therarc in the heade 17 cen: the firſt vyvher-
of is called the vayne of the forcheade, vvhich

is ſituated in the middeſt of the forcheade,and

is opened vvhenas vve have anye inveterated

payn in the occipirialle partes of the heade to

trouble, & moleſtvs. Theſccondeis called
Vena Pu. Jen Pupis,vvhich is ſituated right in the mid-
pis. deſt of the occipitialle, or hinder partes of the

heade: this vayne is opened, agaynſt the ſopo-
riferouſnes, & payne of the heade, vvhich is ſi-

Thertem- tuatcd in the forcheade. The thirde is called
_ the temporalle,or vayne of the tEples, vvher-
f of in cach ſyde theris on, vvhich in divers bri-
ches aſcedeth in the temples of the heade:vve

open thoſe vaynes agaynit the ſuperfluous la-
chrimation of the eyes, agaynſt vehemer pay-

ne in the carcs,agaynit the Hemicrana,vvhich

Feare onlyecommeth in on ſyde of the heade. The
vayne- fourth iscalled the care vayne, one cache ſyde
one, & have ther place, & ſituatione behinde

the cares : this vayne is opened agaynit ſurdi-

Eyeyayn. rye, payne, & viceration of the cares. The fifth
is the cyc yayne, the yyhich ia the greate Core

— —__. a —_— ;

TheFrenche Chrrurgerye

ner of the eye,cloſc by the noſe, vve may per-

fetlye ſee:ſheeis opened, agaynſ(t all diſſcales

of the eyes, & eyeliddes. The ſixt is, the noſe- Ngfevayn
vayne vyhich hath her place in the middeit of

the end of the noſe, betyveenec the tyvogrilles

or cartilages:ſhecis opened, agaynſt the.hea-

vines of the head, & agaynſtall reumes, of the
eyes, & eycliddes. The ſcaventh,is the lippe Lippe.
vayne, vvherof one cach ſyde are, tvvo, in the vayne.
internall partes of the opermoſt, and nether-

moſt lippe:vve opt them agaynſtall tumors,

& excreſicenſes of fleſhe,agaynit all vIceratios

of the mouth, & agaynſt the vehement rednes

of the face. The cightis called Ranularis vena, Ranuls.
vvhich is ſituated vnder the tunge , onecach ris.
ſyde on, vve make therin an apertion, agaynſt

the Sqvinantie, agaynſt the incenſione of the
Almondes, of the pallate, & more other diſſe-

aſes ofthe throte. The ninth is very publique, '
lyinge in the necke , and is called the Ingularis, ——_—
vayne, & of the: Arabians Gvides, on cach ſyde

of the necke one. Shee may very convenittlye

be opened,agaynſtthr Squvinantye, & agaynſt

all rheumes of the throte , vvhich bringe vs

into greateanguſtnes,and trouble.

In the armes are lixe, in every arme three
vvhichin the fouldinge of the armes are phle-
boromized . The firſt is the head vayn , vvhich Head-
iS fituated higheſt & moſt ourvvardlye, in the Cook
arme, vvhich vve opE agaynſt the payn of the c,,
heade, cyes,cares, & payne & (yyellinge of the
throte. The ſecond is the nethermoſtinthein _
ſyde of thearme, & is called Baſilica, being the Baſilica,
foundatione of both the other vaynes, and is
alſo called Heparica,or liver vayne: VVe open Hepatice
this vayn,agaynſt the Rtoppinge of the Liver, ®* Uver
& agaynſt all inflimations of the vvhole bo- "25
dye,& all diſſeaſes, vvhich are ſituated vnder
the heade. The thirde, is the Median, as vvell The Me-
concerninge her ſituatione, as originall, be. (Fen
cauſe (hee taketh her beginninge our of the
Heade & Liver vaynes, as alſo conſidering her
conditions, becauſe vve open her as vvell for
all diffeaſes, vvhich are ſituated in the vpper,
as vndermoit partes of our vyhole body, and
ther trouble,and moleſt vs.

Ir, the handes, vve have ſixe, in each hande
three. The firſt deſcendeth a longeſt the Mera- Eye vayn
carpion of the hande, and paſſethe betyvixt the j\ 02
thumbe, & the firſt finger, vvecall herallſoe ;
the heade vayne, or the eye vayne. V Vherfore
ſhecis onelye opened agaynſte payne'in the
heade, & eyes. The ſeconde is called Sahvarella, Salvarel.
or Liver vayn, betvvixt rhe little, & thirde fin- '»
ger,ſheeis phlebotomized,agaynſt the yello-
vve gaundiſe, & inall diſſcaſes of the liver,on
the right hande , and one the left agaynſtall
diſſcales of the milte, vvherforgof ſom in the
left hande ſhee is called the miltvayne. The Blacke
thirde,is alſoc called the Mediane, Blacke,and ">

Com-

- 2 —--——_ -- ——_ll..
cr — — ———— —

2g SIpH

T

52

of laqves Gvillemeau,

Common vayne, & deſcendeth by the finger
Wacke Called Atedicns, orthirde finger, vvhich vayne
vayne YVve may open, vyhen yve can finde nether of
the othertyvo.
In the bellyare tyvoin cach ſyde of the bel-
Vena 1!J;- Iye one, vyhich vve call YVenam 1Uhacam, orTi-
aca. tillarem, & demonſtratethe her ſelfe betvyecn
the hippes, & the flanckes. She vvhich is ope-
ned in the right ſyde,agaynſtthe Dropſye,and
other diflcaſes of the Liver:\ſhee vvhich lyeth
in the left ſyde , agaynſt the difſeaſes of the
Milt.
In the fundamentr, or privityes of a mi, are
onecach ſyde rvvo, the one vyherof vve calle
Hemor- the Hemorrhoidalle vayne, & is onlye opened
rhoidall jn mclanckolye diſlcaſes.
vayne: In the leggesarc cight, in cach legge four!
Vena Pos Vyherof the firſt is called Yena poplitis, fituated

plitis, inthchockes, or foyldinge ot the knees, & is
opened agaynſtall difſeaſes ofthe nethermoſt
$aphena Part of the bellye. The ſecond Saphena ,or mo-

orMother ther vayne, vvhich vve opE one the inſyde of
vayne, thelegge vnder theanckle, in all difleaſes of
the kidnics, & of the vvombe, & to provoac-
ke in the vvocmen ther monthlye ſicknes, or
meſtruouſnes,inall runninge of the raygnes,
and in Venus botches, oras vve call them in
lattinBubones. The third is the Schiaticke vayn,
vyhich externallye demonſtrateth her ſelfe,a-
bove the ickle, vvhich is only opened agynſt
The vayn the diſſeale called Scjatica, & agaynitall payne,
Scartica. and doloure of the hippes, and flanckes. The
The kid- fourth is the mediane, or kidnyevayne, ſitua-
Dycvayne ted belovve the foote, andis phlebotomized
agavnſtall diſeaſes of the kidnyes.

Among(t all the other vv hich are moſt c6-
monlye opened, are thoſe three yyhichin the
foulding of the arme arc phlebotomized : to

Baſilica, Vvitthe head vayn Baſilica & the medii. VVe
orliver muſt dilligEetlye colder that vyhen vve make
-_ 5 aninſcilio therithat vnderthe Baſzlzca or Liv-
rous to be Er vayne lyethan artery or great harte vayne :
phi:-bo- ynder the Mcdian a ſynnue orrendone of the
tomiled. rnuſcle Biceps or both of theſe together ,but
Cephali- Vader the Cephalica is nether ſynnue artery or
caor head rendone ſitvated ,vvhertoreamogſtall other
raynets yaynes ther is none vyhich yvithleſle perril
Fu wn & daiiger may be opened.
daunger. If ſo be that through miſchaſice in opening
of the vayne Baſilica vve chaiiced to hurte the
artery vyhich ther vnderis fitvatcd as I have
knoovvne to have chaſiced , vve muſt praeſEt-
lycfor the ſtoppinge and reſtrayninge of the
bloode,and to the curing of thearterye, vvith-
Remedye out leavinge anye uAnewriſma , cleave a bean
foravvoii ;q tyyo peeces, & laye the one halfe of the bea-
= Wt” nc,oncthcapertione of the vayne, vvith a co-
preſſe therone, gentlye tyed, vvithout viſitin-
ge of the ſame in thre orfoure dayes, or once
offcr to touch it, If lo be in the apertion of the

mediane, vve chaunced to pricke the ſubter ſi-
tuated ſynnue,ortendone, vve muſt then im-
mediatly phlebotomize the patient in the o-
therarme:and vve muſtdroppcin the vvoun-
de of the pricked ſynnue , a little hott ovle of
Terpentin, and alittle yyoollc, beinge dipped
therin ypponthe ſame , therby to keepe the
apertione aperte, & then lay a playſter of Dza-
calcitheos , rovvnde aboutre the vvounded par-
te of the vvholearme, vvhich hath bine lique-
tacted, vvith oyle of roles, and vineger.

Of the Arteriotomia,or aperr1on of the Arterys,
or bartvaynes, Chap, x.

> Oncerning the Arterioromii,or
apertione of the Arteryes, the
pradiceſlors & auncient pro-

teſſors vveare vvont to effect it
cſpecialle behinde the cares, &

in the temples of the hceade, a-
gaynſtall continuall, & rebellious fluxions, &
Rheumes of the cycs,in like (ort aloe, acavnſt
all diſcaſes of the heade, vvhich have taks ther
originall,fro hotte,dampiſhe, or ſubtile rheu-

mes:as yet novv a dayes vyedoe, but not vrho

lyeas they vveare vyonte todoe, in openinge

of the ſame: for ſoc farre forth as if the Arterve

be ſmall they then cut hercleanc a ſunder , &
theyalſocuta peece therofavyay, & both the
endesaredravven invvardes, yyher by ſhee as

then bleedeth noc more,

Andifthe Arterye,begreate, & violentlye

beateth, itis the ſurgſt vvay, that vve tyc her

vnder & aboveand then betvvecn both thoſe
ligations cut her of, but the thredes vvhervvis

th vve binde her, muſt be ſtrog & cloſly tryed
becauſe that through the continvall beatinge

of thearterye, the thredes looſe, & the arte-

rye opencth ,if ſo be it be not ſtiflye bovynde:

& becauſe that ſhe ſhould not chaunce to cor
rupt,before the inſciſion be replete & grovve

full offleſh: vvher throughthe mouth of the
forclayedarteryis ſtopped . But novvadaycs jz,.....
vve only makea {imple inſ(cifion in the arterv vic novy
inſucha manneras yve make an apertion in adayes to
the vaynes,vvithout cutting of the tame cle. 1 Pe.
an of & havingdravven as much blood ther- "—
outas vvedelire,vvethElaya litle playſter of
maſticke on theapertion ,& alitle compreſle

tyed thcron rovyndabovtthe vvhole head as
cloſcas is poſſible . I knovve right vvell that
therare ſome yyhich houlde this apertione of
thearteryes verye (uſpecte, becauic it ci hard-

lye be ſtopped agayne,and in doinge this, ther
remaynetha cicatrice, inthole partes vvhich

are {ituated rovvnde about the forelaved arte-

rye, bcfore the ſame isfully2 cured, and ther
It 35 throu-

—SS 9-2 f 4 y
>. es. - £4 44

——— _

TheFrenche Chirurgerye

__ throughe often times an _Aveuriſma cauſed,
4 wag vvhichis veryc troubleſome, and daungerous
] for the patient. Butl may vvith verity aftirme

, Caunge- '
us diff it to be true, that oftentimes I have ſcene ope-
mY

ned the arteryecs of the temples of the heade,
vvithout any of the foreſayed accidentes bein-
ge happened therynto, the vyhich I coficel the
yongeChyrurgiane todoc it onlyc in this pla-
cc, becauſe ſuch an inſciſione,is more fitter, &
lciſe daungerouſe,thE the yyhole cuttings of,
and ligature of the ſame.

23 Of the ſvellinge Aneuriſma, and of the mea-
nes hoe to binde,and cut of the ſame.

Chap. 6.
Diſcripri- His tumefaQtione Anewriſma,
on of the \/S#7] FAxF2> is cauſed moſt commonlye,
rumefac- | { v throughe the dilatation of an
non Ane- WE

Is .. d artcryc, vvhich only vve muſt

4 bi MG P's vnderſtande of the ſmalle A-
VP" ACS; neuriſmata,beinge impoſlible,

that the arterye,ſhoulde ſo dilate, & as it vvca-
revnſhutt in the greate Aneuriſmara vvhich of
tentimes vve ſee:vvherfor vve vvill rather ſay,
and houlde vvith the opinione, of the aunciEr
profeſſors, that Azeuriſma is then cauſed, vvheE
as the bloode, and the vitall ſpirites, arc repul-

-

ſed out of the arteryes, throughe the apertion,”

or orificia of the ſame, vyhich yvecall Anaſto-
moſm,orclsvvhen as the tunicle of thearterye
is burſt, it be cther throughe a vyounde, or by
anye other gccaſione : as vve may ſe, vvhenas
the Chyrurgiane , purpoſinge to openc the
vaync in the elbovye by chaſice prickethe the

artcrye yyhichis therſider ſityated & the ſkine®

vvhich is ther6 lyinge ,cicatrizeth it ſelfe and
the perforatis of the artery, through her cori-
nvalle reverberati6c ,tarricth yncured, & opE
& is not ſtopt, or vvithanye carnall ſubſtance
replete, as beinge vnprofitable foranye vic &
in noecſorte can be bound ſocloſe as the arte.
ryc ofthe temples of the heade ,burt throughe
the blood & viralle ſpirites ,vvhich by degrees
INue therout , & are congregatede vnder the
ſkinne ,& ſoc conſequventlye cauſe the ſvvellig
ſuppoſinge they verye vvell did knovve, ther-
into be matter, or any other ſlimyec ſubſtance,
or viſcoſityc, for yvhich reaſon, they have ma-
dean apertione therin, vvhervppon alittle ti-
me therafter death hath follovyed, becauſe of
the bloode,and of the virall ſpirites, vvhich in
great haſt have ruſ hed therout, vvithoutanye
remedy hovveto reſtraygne them, Novy per-
Siones feAlyc to knovveſuchalſvyellinge,and to diſ-
he tm. ccrne it from other rumefattios, vve muſt ob.
mefactis. ſerve, that in this tumefaCtione ther is, a con-
tinuall reyerberatis, the forelayed tumor, be-

inge of one coloure vvith the ſkinne, hovye
great or ſmalle, the inflatione be, it is alſoe rE-
der, andſoft in the touchinge of the ſame, gli-
dinge avvay vnder the finger vyhen as vvede
preile ir, yea and almoſt throughe the foreſay-
eddepreſſione yvholye yaniſheth out ofour
ſighr, conſidering the bloode of the vitall ſpi-
rites, \'yhich through the foreſayeddepreſi,
arecruſhedin the arterye, vvherfore they al-
ſoc, as paſſinge throughe a little apertio vvith
violence,do makea noyſe, or ſfoyynde, vvhich
havinge taken avvay, and removed the finger
immediatlyc\{hootcagaynec in ther forcſayed
concavitye,asalſocagayncin ther forth com-
minge, ofthe forelayed anguſtapertione, vve
may hcarea certayne ſovynde: vvhich comon
lye chaunceth vyhen as this Anewriſma, is cau-
ſed throughean Ana//omoſzs, and not ofanye
vvounde, becauſe, the Orificium beinge apert,
the vitall ſpirites, as being moſt ſubrile,are be-
fore the bloode driven out, ſoc that the yvhole
tumefaQtion, is almoſt replete vvith vitall ſpi-
rites. Butifſoc be the Arterye be burſte, there
as then iſſueth much bloode therout, vvhich
bringeth in the tumefattion more blood, thE
vitall fpirites, vvherforcalſoc itis more obdu-
rate, and harder, and the ſayed bloode coagu-
lateth,and therin rotteth,and corrupteth.

As much as concerneth the curatione of Carat
thistumefaQione , it conſiſteth onlye,in the JF av
bindinge of the forcfayed arterye, andeſpeci- ucilma.
allye the ſame beige ſomyvhat thicke, for they
vvhich are greate, and eſpeciallye the arterycs
of the necke, the arme pittes, or of the flanc-
kes, may orcan in noe ſorte be tyed, becauſe it
isimpoſliblero finde them, & make them ba-
re,and if yve allſoc make an inſcilione therin
ther then follovyveth ſuch a quantitye of bloo.
de,and of the vitall ſpirites, that moſt commG6-
lye the paticat, dicth vader the handes ofthe
Chyrurgiane.

Thararteric, vvhich is ſituatedin the ben- gf ,,
dinge ofthe arme may calilye be cured, as out terye
af this ſubſequent hiſtorye vve may note. My Yvhich
lorde of Maintenon , deſired me to viſite the > va
ſonne,of my lorde, of Belleville, vyhichthrou- tyeq abo-
ghe phlebotomy in the bendinge of hisarme, vethe A-
had gotten alittle Aneuriſma , vvhich through Sn
continuance of time, is grovven asgreateasa
filte, vyherin, in the ende the bloode vvhich
therin vvas included, coagulated: ſo thatin the
forelayed tumefattion Anenriſma, ther came a
corruptingand ro:tennes, vyhich he one the
our ſyde of the foreſayed ( kinne, of the ſvvel-
linge he eſpyede , vvhich from the vitalland
livinge coloure vyas chaunged intoa blacke,
and purple coloure , vvherebye alſoe ther
vvasan apertione cauſedin the ſkinne : To
the remedyinge, andcuringe of the vvhich,

eſpeciallye the ſuperfluous cftluxione of
bloode,

of laquves Givillemeau. Fol.z1.

bloede, vvhich might therofenſue, & the loſle
alſoc of the virall ſpirites, if ſoc be the aperti6
as yet vvearcdilated:Ias then councelled, the
Phyſitions,and Chyrurgians, to prevent far-
thereyclls, that yve ought to tye, & binde the
Arterye, (vvhich vvas ſituated, and his place
inthe bending of the arme)ſomvyhat higher
then the Hnewriſma,to the vyhich opinion, &
propolitione,in the end they all conſented, &
agreed: The vvhich alſoe vvith happye ſuccel-
ſione of all cauſes vvas broughtto paſle,in the
prxzſence of the vvorp ſhip full maiter Dro-
vet, Doour of Phylicke,at Beauvais,and of
the Chyrurgianedvvellingeat Avet, vyhich
yveare come thether to cure him.

On vihar Firſt ofall, colidered, on the arterye,inthe
fortethe vppermoſt,andinher parte of the fore arme,
Author ag ſhee from abovedeſcedeth vnderthearm-

Remedye

e pirtes, vnto the bEdinge of the arme,three fin-

gers bredth therabove , on the vyhich place
vvhen I had ſeenc , and fixede mynecyes the-
rone , I madeaninſcifione,inthe{kinne ac-
cording to the length therote, vvhich lay ope-
ned right above the Arterye vvhere by tactu-
revve might feele her , vvhich vyhen I had
found, anddiſcovered her, Ithruſta crooked
needle thervnder, vvherin vvasa ſtrog threde,
vyhere vvith I tryed the foreſacyde Arterye,
vvith a dubble knott: this beinge done, I took
avvay,and puritycd,all the congealed, or coa-
gulated bloode, & all other impuritye out of
the vyounde or ſyvellinge, and have vvaſ hed
the ſame vvith 4qvatite, in the vyhich I mix-

ynſt Edalittle ®gypriacwm, by this means to clean-
the purre

Diſtrip- | _
a Varice, %X\

ſe it the better from all putrefaQtions: and the

* paticnt,is vvithina moneth therafter enſuin-
ge,vvholye cured, and grovyne fovynde, vvith
out retayningeany lamnes in hisarm:vyher-
in 1 my ſelfec have vvondered., If foe be that
in anyc other externall parte, there chaunced
to come any Ancuriſmainto the Chyrurgians
handes, he muſt then knovy, thatallvvayes for
certayntye , he ſhall finde thearterye in her
vppermoſt parte, ordiſcover,and barc her, &
ſoc bynde , and tye her yvith out anye more
CCremonics.

23 Of the Cir ſotomia, that is,of the manner,
howe We ought ro cutt of the vari-
ces. Chap. 7.

=+ Arices , or burftene vaynes,
2) arc troubleſome , becauſe of
? thergreatnes, their extraQting,
3) thicknes, and their gibboſitye
T2 abovethcr nature, &property.

SS YYherfor, ether becauſe they

A. 42
I? #
S

cauſe payne , and hinderthe acione of that
parte, orels becaule they ſoacke in ſome cer-
tayne viceratione , vvith ſome humidity,
(vvherby the can not becured) vve are vrged PRE!
to open them,and cut thenfiof, or cls vvith (o- Magee
me actuall cauterye, to cauterizethem , & (oe cc.
conſume, and bringe them to nought. To '
vvhich purpoſe, the auncient proſeilors, have LO
ordayned, that vvelhould cut out,and cleanc aunc 1ent
take avvay,thoſc vyhich lyc croockcdlye and Protellors
dubbelycfoulded, in divers rovynde revolu- entan
tions, or els lye intangled the one vvith the o- the Vari-
ther. But bcfore vvc procecde to luch an o- <5:
peratione,it is neceſlarye , thar firſt of all, vve
bath that part vvith hott yvater , to caulethe
groſle bloode ſomvyhat ro ſeparate, and vyexe
orgrovyye ſubtile,and the yaynes to ſvvecl and
exalt themſelves, |

But the moſt gentleleſt remedye, is that
vvhich daylye vve vie vyhich is the limple a-
pertione, and iniciſione of the forelayed /7u-
rices,at one,tvvo, or thre places, as if vve in-
tendedto phleboromize, makinge the aper.
; tion ſomvyhat greater and larger therin be-
| canſe of the grofle, melancholicke bloode,
vyhich vvedelire to let therout : Throughe
| vvhich forclayed apertione , vvc extracte as
much bloode,as vvcluppote to be goode,and
ſufficient, orels as much asthe paticnt ci abi-
de, one vyhich forclaycd apertione, vve muſt
lay compreſles, vyhich therone vve;muſt bin-
de, as vveare commonlye yſed to doc one the
vaynes, vvhEas vvc have phlebotomilcd, pro-
hibitinge the patient , not to ſtirre , or goe,
vyhich ſayed Yarzces, if fo be they chaunced to
ſyvell agayn vve muſt as before a little diſtan-
, ce therafter make therin an other apertione.

But iffoc be vve intende vyvholy to dilci- OS:
ya In ovyv vive

de,and cuttthem out, vve muſt firſt of all,de- ought to
notate the ſame vvith incke, one the {kinne, cut avvay
vyhichis placed one the Yarice or burſt yay- * 2%"
ne,theſkinne beige annotated, vie mult vvith ng
tvvo fingers of both the handes, lift vp the ſa-
me,the one this yvay andthe other that yyay,
vvhen vve have faſt houlde therone, then vve
muſt make an inſcilion, in the middeſt of the
clevated\ kinn,on the ſelfe ſame place, vvhich
before vve had denotated vyvith incke, of ſuch
a magnitude,and greatnes,as is required & ne-
ceſſarye:the inſcilio beinge effected, vve muſt
ſuffertheſ kinne agayne rodeſcende, through
vyhich inſciſione, the Varice,or burſtcn vayne
vvhichis theriider ſituated, ſhalbe diſcovered,
an denudatede of the ſkinne: V Vhervnder,as
then vve muſt thruſt, a crooked necedle:becau-
ſe therafter vve may vvith both the endes of Tir pl4-
the forelayed threde , dravve the one vpvvar- © Y <6

Hs vve may
des, and the other dovvnyvardes. Thisbe- cr the

ingeeffeted , vve muſt make an apertionein —_—
the varice, accordinge the length, ofthe ſame Pu''t ®
| Bw”

_
4
Y
-

The Frenche Chirurgerye

bervvixt both the thredes, vyhich muſt be (e-
parate & aparte the one from the other a thii-
bcs bredthe, throughe vvhich apertione, vve
may drayyeas much bloode,as vve pleaſe:and
the dravve & binde together verye faſtthe fo-
reſayed thredes, & the alſoe cur, the foreſayed
varice,or burſten vayne,cleanc avvay, vyhich
is ſituated bervveen both the thredes,if ſoc be
it ſcemeexpedicnt vnto you , ſufferinge the
thredes, by continuance of time, putrifye and
rott out of themſelves, vvithout vvith violece
to dravve them out, becauſe that nature, may
have ſome reſpite, & time, tocloſe, and reple-

nil he the cutt, and ligated vaynes.
That burſten yayne, vvhich runneth right,
_ Ch Althoughe ſhe lye overthvvarte,iff he be ſim-

Y

rurgians Ple,& ſmalle, vve vycare better tye herthento
havecau- cauterize her : Bur firſt ofall vve muſt purge
cenzed the patient, & phlebotomize him ctherin the
ces, arme,or in the varice', orels in both places at
once. Ourpraxdiſceſors & auncient Chyrur-
gians, make mEtione of the atuall Cauterye,
bur before they applycd the ſame, they firit in
ſcyded the ſkinne , vvhervvith the varice is
cooperted,& covered,in ſuch miner, & form,
as vye doe vyhe vve binde the ſame: the varice
therefore beinge bared , they then impoſed
theron,a ſmalle ſtumped Cauterye , vvhich
vyas vvell gloyvinge, & redd hott, vyhich rea-
ſonable ſtifflye they impreſſed theron, but yet
not ſoc violently that the advſtione penetra-
redany deeper,thE throughe the vayne, vvith
out touchinge the lippes,or edges, in cauteri-
zinge,of the foreſaycdinſciſione, vyherfore
they vvith vvett, & madefyed cloutes or vvith
ſomecertayn playſters, recinAted, & defended

Vſeand them. This operatione beinge after this ſorte «
practiſe finiſhec they applyed therone, ſome certayn

« roy remedyes,to the quallifyinge of the payne &
? Fdolourc,andprofitablefor the combuſtione.
And becauſe it is incident vatoall me, to feare

the hottiron , andallocthe inſciſione of the
ſkinne,;vvhich firſt of all nuwuſt be done. Our

vic therfore novy adayes is,that vye(vvithout
makingcany inſcifione in the ſkinne) applye

on the ſclfe ſame place of the varice,a great, &
ſtronge potetiall Cauterye, becauſe it ſhould
not only combure qvite throughe the ſkinn,
butalſoc throughe the vvhole varice, or bur-
ſten vayne : but yve may not in any forte rou-
che the Eſcara, but gentlelye of her ſelfe ſuffer
hetto ſeparate , viingeatthis ſeaſon thoſe re-

medyes, vyhich for that vſc expreſſlycamon- |

geſt the cauteryes, vvc havediſcribed. The
vyhich I haveſcenc to be vicd, of M*leIcunc
the kings Chyrurgiane , and of the Duke of
Gyvylſe, vvhich vvasa verye experte man,inall
operations of Chyrurgerye.

v3 Of the Hor ſeleeches of there 1 ſe,co hoe we
may applye them.Chap.s.

—4 He Horſcleechesare little, and Deſcrip
2x perpucill creatures, like vyor- mu
bd mes, of the longitude of a fin- Ss oy
I>. £
"2 ger,or theraboute, nether arc
) a K theyofanye great craſſitude,
6.3" ATY; or thicknes, vnles,it be vvhen
they vvith ſuckinge of bloode are grouvven
thicke. The end of ther head hath a rovynde
hole, much like vntoalitle lamprell, vvherin
are to be bet; *1de, and ſcene thre ſtinges, or a-
cuityes , proceedinge out of three corners,
vvhich ſoe violentlye, & ſtronglye pricke, that
thervvith they can pearce the hides & ſkinnes
ofall creatures vyhatſocve?, & vvherone they
dep&Ede faſte hanginge, vnrill ſuch time as they
have ſucked themſclves rovynde, and fall of
vvith therone accorde. They live, & arc inge-
dred in the vvater, & eſpeciallye in all ſtagnes,
& ſtandinge vvaters, becauſe they delight, and
are ſolaced,in filthye, and muddye places. I
eſteeme, & ſuppoſe, thatther is noe Chyrur-
giane, but yerye vvell knovveth them becauſe
of all men theyare knovven, but everycone
doth not knovve vvhich arethe venoumous,
or not venoumous, yvhich notyvithſtanding,
is verye neceſlarve to be knovvn, conſidering
the accidentes, & miſchaunces, vvhich might
therofinſue,and follovve,as in example, great
tumors, Inflammations, & venoumous ylce- Mcſſali.
rations,through ther yenoumous monorſi- 325 dyed
ones & bitinges, yea alſo & death it ſelfe,as the a A
hiſtoricof him , vvhich ofa venoumous one, venou-
vyas bitten in his knee, & dycd therof, is vvit- "A
neſlingevnto vs, _—_
The yonoumous, areas yvel knovyne, &
diſcerned by ther greatnes, as ther colour,and Signes of
alſoc by the place vyher they are caught. For ® Y<nou-
thoſe yyhicharethicke , and have a thicker (4g...
head then the reſt of ther vyhole bodye, ſhi- leech,
ninge, like vntogliſtninge vvormes, andare
grecniſh,and vvhich have on ther backe, ble-
vve, orblacke ſtrokes, orlines, and vveare
caughtin ſtandinge pooles, vvherall manner
of foctide, & ſtinckinge Carrions, vvith more
other filthines isthrovvne in, they arcall ve-
noumous, vyherforcin anye forte vyc muſt
not vie them.

Butthoſe, vyhich are ſmall, rovynd, & have Signes of
alirtle heade, &arc of coloure much like ynto —_
alivera rovvnde belly, & the backe ſtripped, jcechcs,
ſtroked vvith gouldeycllovy ſtrokes , vvhich
live incleane runninge vvaters, theyare not
venoumous , vve may fſafelye, and vvith all
ſecurirye vie them. And yet notvvithſtiding,
thoſe vyhich ar ſoc as is before ſayed, may vve
as ſoone, as vve have caught them , applye

them to the bodye, but mult firſt ot all, keepe
them

of laqves Gvillemeau.

them tyvo,or three vveckes ina glaſſe of fayre

vvater,'becauſe therin they may avoyd the vil- |
colitye, & impurenes, refrethige the forclayed |
vvater everye three dayes once, vval hinge the

What vye ſayed horſeleeches, vvith your handes from all

—_— ther viſcolitye & ſlimiſhnes. Galen councel-

revve vie lcth vs, that the firſtday vve ſhoulde give them

the Hor- a little blood, & then, put thE in freſhe vyater.
V Ve may przſerve, & keepe thEa vyhole yea-
re,or longer if vve pleaſe, to vie the, yyhen the
neceſlitye ſoc requireth.

. The vſe of Horſelceches, vvas invented in
Vſeof the place, of ſcarifyinge: vve apply thE molt com-
Horſelee- tzonlye one ſuch places ofthe bodye:, vvhere
che. yyecan not ſctany boxesatall: asin example

in the privitycs, one the gummes, one the lip-
pes & ſomtimesalſoe one ravve fleſhe of anye
vvounde,on the noſe, above on the hande, &
fingers, & vvhe the patient too much feareth
the boxinge, orels vvhenas vvedelire to dta-
vve & extracte anye venoume, out of a thruſt,
or bitt ofanye venoumous creature.

Before therfore vve apply them, & becauſe
they might be hungrye, nether retayncanye
thinge in ther bodyes, & becauſe they ſhoulde
the ſooner take houlde, vve muſt take the out
of the vvater, & ſuffer thE thre or fourc dayes
before vve vie them tolyc ina nue little vvod-

Horſclee- den box2. V Vhich beingeinthis ſorte prepa-
chesare red,to apply onethe body, vve mult firit vval-
enimy"* he that place vvher vve purpoleto applyethe
S——_ veryecleane, & if ſo be the place, by reaſon of
ofanye ſalve or plaſter, vvear fattye, vve muſt
alſoe vvaſhe that place & yvype it very cleane,
becauſe they are enimyes vntoall pingveditye
& fatnes: this being effeted, yve mult thE take
them the one after the other, in ther middles
vvitha vyhyre cleaneclothe, (for if ſoc be yve
touch them vvith bare fingers, they as the vvil
nor bite) & prxſEr, or placether heades to that
place vvher vvedeſirero havethem ſucke.Ifſo
be the Horſcleech vvill notat the firſt byte, &
take houlde, vve muſt then annoynt the ſayed
place vvith pigeons bloode, or hennes blood,
or cauſe the place ether vvith the poynGte of a
lancet,or vvith a pinn,to bleed, vvherthrough
immediatlyc ſhe vvill beginne to ſucke. And
Tom ſoc far forth as ſhe ſucketh not ſtronge cnou-
lecah vio» ghe,or if ſoc be vve delireto have her to ſucke
lentlye to yiolentlye, before ſhe leave, & is not vvholye
—_ full, & ſatiſficd, vve mult vyith a payre of (cil-
ſorsclippe hera ſunder, about thethirde part
of her bodye: vvher by, ſhe beginneth to ſucke
farre ſtronger & vvith more violence, and the
bloode asfaſt as ſhe ſucketh de parteth fro her
through the hindermoſt partes vvhicharecut
—_— avvaye. As ſoone asthe;one Horiclecche is
cauſe the falls of, if vve plcatc, vve may applyc an other
tofall of. theron:for they being replete & tatiſticd, pre-
ſently of themſelves, tall of:&it toe be yve de-

ſyrcto have them fall of, before they be ſatiſti-
ed, vveas then ſtrayvealinletaulte, or aſhes
of vvoode on ther heades & im mediatlye they
tall of. Theras yetdroppeth blood out of the
| bittvyhen as they arcfallen of, vyhich is aſig-
ne & token, that they hayedravven & ſuckede
the blood from farre, vyhich blood, vve muſt
' not onethe ſuddaynereſtraygne, & ſtoppe, be
, cauſe that parte may the better purge, & puri-
kycirſelfe,fromall venoumoushumors,it ſoc
| bethere be any at hande:yyhertore ſome tker
be vvhich ro that end, apply ſome ſmall boxes,
on the bitinge of the Horſelecch , gr els they
| vvaſhe that parte vvith hott vvater, beige ſaul-
ted, & cauſcitto bleed ſomvyhar longer, it ſoc
be that parte require the ſame, & the patict be
able to ſuffer the ſame:If ſoc be the blood run-
ne therout ſomvvhat tolonge, & yvil difficult-
| lye bereſtraygned, throughe anye compreſlcs,
| vve muſtthen apply theronalinle aduſted, or
| burnedlinng,or aſplitred or cloven beane,re-
| tayninge the lame vvith his finger ſoc longe pqgyprrs
| therone , vntill ſuch timeas ſhe cleaveth faſt £ hall rc-
| theron, vyheron therafter vve muſt lay a ſmall {iraync
| compreſle, & binde the ſame therone, if toe by © —
anye mcancs poſllible it may be done.

03 Of Boxes,and hoWve We may applye them.
Chap. g.

Boxe,isan inſtrumTte,of Chy
\ rurgery, the magnitude yvher
of, muſt xqyal!lye be proporti-
oncd, accordinge tothe great-
ncs of that parte, vyheron vvc
purpole,and intende toapply
them, &alſoe divers formes, & figures: for to-
me ther are vyhich arcſhorte, & thicke, others
vvhich havea longe necke, & belovye vyyde,
vvhich comonly dravve better the any other.
Others arc of divers ſubſtance, for ther arc (0-
me of Copper,others of Horne, of Tinne,and
of glaſſe, vvhich vve moſt commonlye vic, be-
cauſe throughetheglaſle vye might tee, vvhe-
ther they dravve much bloode or not. Ther a-
realſoe ſome vvhichare made of vvoode, and
ſome baked of carthe: yea for vvant of Boxes,
vve may vſc little yvooddE diſhes, or little car-
then pottes. Touchinge ther forme, they muſt
havea vvyde mouth , anda reaſonable broade
bellye, thicke & rovynde edges, becaulc in the
applyinge therot they hould not chaunce to
hurte.

Andifſoe bethey are very greate, they muſt
the havea little hoale on the one (yde, vvhich
vvith vvaxe muſt be occluded, befor yve apply
the that yve may give thEayr, vvhe vve vvill ta
ke ofthe ſame, tome therare, vyyhich lay a linle
ſticke, croſle over in the mouth rherof, on the
vyhich they impolea little peece, or inche of a
candle,

Differece
of Boxcs:

Hovv vve

ſhall ap- yye firſt of all, perfricate, and rubbe the place

The Frenche Chirurgerye

candle, vvhich in the application therof they

incende,and light.
The manner of applicationeis this. That

dious to be placed behidin the necke, agaynſt
all cheumes vvich are incident ynto the eyes:
behinde in the middeſt of the necke are they
neceſſarye to be applyed, for thoſe vvhich are

Boxes, perforationec in ther middeſt, and ivternally,

alittle leatherne tiige, vvhich is very thinne,
vvhich ſtoppeth the foreſayed hoales. (They
arc applycd vvithoutfyer, & ſucked vvith the
mouthe. To vvitt vvitha little pipe, or vvith
a quille, vvhich vvc impoſe in the forcſayed
perforation, vvhervvith the foreſaydetunge
is thruſte backevvardes, vvhich ſtoppeth the
horne, vyhen it hath dravven and ſucked ſuf-
ficient, & dravvinge the pipe therout, the fo-

lyerh® vyherone vveintend toapplyethe ſituatinge || ſhorte of reſpiratione,and troubled vvith the
** thar parte of applicatione, in the right forme || cough:one both the ſhoulder bladys, agaynſt
therof, becauſe the muſcles, maylye in ther || payne, anddolourc in the heade agaynit He-
right ſituatione,and places,and not be recur- micraniam,agaynit ophthalmye, and payne in
ved this vvay,or that waye, becauſe the boxes || the teeth: vveapply thEallocin place of phle-
beinge theron faſtened, might not vvithe the botomye one the right hippe, agaynſt bleedi-
refletion of the parte, or ioyndte,fall therof, || geat the noſe:in like ſorte alſoe cloſe to vvoe-
vvhen as the foreſayed recurved muſcles, || mens breſtes , vvhen asthere menitruoſitye,
ſhoulde reverte agayne tothere accuſtomed || too ſuperfluouſlye floyyeth from them, and
locationes,and places. This beinge done, vve || vvhenthere lye includedanye ventolityesin
muſt impoſe therone a counter orany other || theLiver:on the left ſyde,vyhen as ther isany
peece of coine, vvitha lirtle, flocke of flexe,or || Vvynderetaynedinthe Milte : on the Navelle
rovve incended in the middeſt of that place, || aganſt the vvynde colicke : on the Yrerercs,
vyherone vve deſire to applye the Boxes, leaſt || tO cauſe the gravell todeſcede, vyhich is con-
that the fyer chaunce to touche the ſkinne, || tayned, inthe kidnyes: on the rnmpe, agaynſt
vvheron immediatlye, vve muſt vyhelve the || the vicerations, and the Hemorrhodes of the
Boxes, turninge the ſamealittle rovynde, be- fu ndament:on the hippes, agaynſtall veſicall
cauſe he ſhoulde the better faſten theron:the || diſſeaſes,and of the yyombe,and provocation
vyhich as then vve muſt cover, vvithadubble || the monethlye ſicknes,or menſtruoſitye.
vvarmedcloute. Some there are vyyhichin To conclude, vve may applye them,on all The Bor-
the bottome of the Roxes applye and layea || partes of mans bodye, yea allſoc one the ſelfe ©5 may be
| plaſter,and theronealirtle toyve, in place of ſame place vyherethe payn is, vvhich vycen- oo W;
| an inche of candle, vvhich in theapplicatis, || devourc tocure,to retratanddravvetherout partes of &
2Þ theyt ſcr one fire, vvitha candle. all hu mors, vvhich are theri ſecluded, as vyhe mans bo-
way As touchinghe the hornes, theyare vvyde vve delire ro dravvec any humors outyyardes, ws
the LC above,and narrovve belovve, havingealittle || Vyhichlye profoundlye & deepelye occulted,

and hiddE,or cls alſoc,any ventoſitye, vyhich
in the foreſayed parte lycthincloſed, as on a»
nye bitt,or pricke, of any venoumous creatu-
re, leaſtthatthe venoume might chaunce to
penetrate and pearce, into ſome of the vyor-
thyeſt partes:one the Venus botches, or Bubo-
nes,one the venoumouſe, & Peſtilentialle Pa-
rotides, Butdeſiringe toapplyc them agaynſt
anye ſuperfluous cfluxione of bloode , vve
muſt then ſituate them on the contrarye ſyde

relayed tunge, internally (ſhurteth, & cleaveth conſideringe theallyance, & communitye of 8
it ſelfe ſoe cloſe to the hole, as vve may ſeein || the vaynes vvhich is betyveene them, throu- th
a kind of ballon, vvhen he is blovven vp. ghe the vyhich the bloode is retrafted, & dra- 72
Thoſe vvhich are ignorant of this ſecrete, || VVEn backe. It chaunceth alſo ſomtimes, that i
ſtoppe, & occlude the hole vvithalittle vya- || vvenetherapplye the Boxes, on the diſſcaſcd, -
xe, vyhichindeede is not ſo neceſſarye, and || ordolorouſe place, nether one the contrarye ic,
needfulle. Thoſe little Boxes vvhichare lay- || ſydetherof, but onethat parte vyhich nexte, =
ed in vyarme vvater,are aplycd, after that vve || and proximately thervnto is ſituated: as vvheE le
have putt the flame of the candle, therin and || vvedelire to ſuſcirate and provoacke, the re- Is
muſt then vvith all cxpeditione be theron im tayncd and kept backe meſtruoſityes , vveas fl
poſed. then place the Boxes, one the bone Pubis in
Thevſz Thevſcof theſe ſmall Boxes , is thre fould: || the flanckes, and allſoc one the flarncs of the T
of ſmall Namely thervvith to vvithdravve,and repel], || hippes. | =
boxes. theblood,and humors, yyhich are concurſed The Boxes, or hornes, are ſ6times applyed hc
ro anye place: rodravve forth any particulare || vvith ſcarificationes,and ſomrimes vvithout: th
thinge vvhich nature ci nor expell from her: || If ſoc be vve applye them vvithour ſcarificati- fi
& todravve, out or cauſe ro conſume,any oc- || ones, they then onlye dravve certayn dampes
cluded ventolityes,in any partes of our body: || vnto them: burif ther be anye badde humors, T
ei

vvherfore vve applye them one divers, & ſun-
dryc places; they are very goode and commo-

in thoſe partes, yve asthen ſcarifyc it: And the

diſſcaſe procceedinge out of vvindcs,and ven-
tollityes,

of laquves Gvillemeau.

tolityes, vve then applye them vvithout ſcari-
fications, but vvhen vve are mindedto (carifye
anye parte, vve firſt ſett the Boxestherone,and
havinge agayne removed, and taken the fame
of, vve the pricke, or ſcarify therin,cther vvith
alancet,or vvith the poynQte ofa raſor, vyhe-
ther it bedeepe, or not deep, accordingeas vve
ſuppole,and iudge the bloode, to be groſle, or
ſubtile, butallvyayes vve muſt note not to {ca-
rifye deeperthen the ſkinne : touchinge the

| ons: vyhers vve mult agayn applye the boxes,
| ſoe that vyhe vvedeſireto dravve much blood

Fol.33;

therout, yve muſt applye the foreiayed boxes
tyvo,or three times theron, & everve time [ca-
ritye the place, & eſpecially vyhen ther is con-
tayned in that partanye venoumoulc ventoli-
tyc,or groſle,and corrupt bloode. In dclicatc,
and dayntye perſons, vvhichare tender of fle{-
he,and have an aperte or open {kinnce, in (ſuch
perſons vve mult ſcarifye but once, notyvith-

number of the foreſayed (carificatios, if toe be
vycarcnotinteded todravve much blood ther
out, vve may notas then make manye (carifi-

| ſtandinge muſt apply the boxes tvvo, or three
| time$afrer other theron : vyhich beinge tinit-
| . . us

hed, and havinge vviped,anddryed the parte,

catios:butif vve intend todravve much blood
therout vve muſt then make many (carificati-

vve muſtthen apply one the (carlficatione, the
Cerotum Galeni,or cls the 'nguentum Roſarum.

THE SEAVENTH ]

TREATISE OF THE OPE
ratione of Chyrurgerye,Contayninge

lixe Chapters.
Ofthe Cares ,or of the corruptione & rottinge of bones. Chap. 1
Of the fiſtles of the Privityes or fundamente. Chap. 2.

SG. - -
— — —— a > -

Hovy vve oughttodrayye forth CHildrene out of their mothers bodye , vvhich of themſclves
can not be borne, Chap.z.
VVherfore the externalle partes or ioynctes of the bodye, mult be extirpatede , as Armes and
Legges & vyheraboutes the ſame mult in the fore layed ioynct be done. Chap. 4.
Hovv v vc ought toeffe@,the extirpation ,ordiſletion of any ioyn&t, & reſtraynge the bloode
after vveſ halle have layed dovyne the paticnt. Chap. s.
Hovy vve ought to extirpate the ſpoylede, & ſuperflyous fingers, & hoyy vve { hall ſeparat thoie
fingers vvhich are combinede , & grovycn together. Chap.s6.

Of the Caries , and corruptione of the bones,

\ Chap. I.

— — He bones , not being ſpoylede
mn Ip > & corrupt,are of natur vvhyt
the natu- C1 ſmooth , & ſolide . They arc
rall bones 7X3 accordingeto the ſayinges of
2000Y as Col VE aunciente Chyrurgianes and
vvell ſub- GaA2©>- ourdayly experience, ſubicCt.
Qcedvn ed ynroall evell diſpolitions ,vyhich thefleſh

ner of difz. 15 ſubieQed vnto , yeaallſo vnto apoſtematiss,
leaſes,as Celſus avouchethe ,that all bones yyhich have

-+ # any impedimet, are ether hurte , corrodede,
corrupted, burſt, broken,cruſhed, plettered,or
out of ioyne. V Ve may prziudice the bones

Toknovy tg be altered, or polluted, throughe our ſight

__ feelinge, matter, and impuritye, vvhich ther-

bones out iſlucth: vyhE vve perceave it to be yellovy

wg or purple,and at the laſt blacke, & as verye le-
'8 arncdlyc,&diſcretlye the ſayedAuthor, yvri-
teth , firſt the corrupted bone vyaxeth fattye

Through then blacke,or putilaginous, that is corroded:
eling®. yyhen as in touchinge vvith the privet or (c-

| —

|

| |

archinge irs, vve fcele the bone to be rugged, |

and not playn,and the privet, cntercththeiin, «
aSit it vycarca peece of corrupted, & vvorme |
caten yvoode, & eſpecially vvc knovvinge the

ſame not to have binn bared of his fiet he,ne- |
ther hath binn of the ayre illuminated: becau-

| ſe that ſometimes the altered bone, tor that it
| hathalonge vvhilelyen bare, is grovve to be

ſoc harde, & thicke, thar vvithourgreatc pay-

nes, vvecan not faſten thers vvith the grating

iron, through the matter, vvhich isthinne, & Throug!:
ſubtile, cleere, fxride, ftinckinge ,& blackil he: the mat-
vyvhen as rpvyvndaboure the viceration ctpeci. **
allye, is regenerated a tender & viſcoulc fleth

vyher through the viccration can not, be Cica-
trized, & although (hee be cicatrized,theratter
redubleth her forces, & breacketh open agay-

ne .Suchalteration procedeth of ſome cccur- gl.

| rEthumors, that delcEde on the bared bones, of the cor
| asappearcth vvhen they are through loackede ptionot

-. {he bune
vvith any peſtiferouſe humors ,or els becaute Ie DUES

they are of their fleſh & pellicle, or mCbranc
Perioſtio denudatede and barede vvherthrough
I thcy

Eb ers. oo — ——

The Frenche Chirurgerye

they corrupte & vvaxedrye for vvant of blood the vvill notenter therin, vvherfore the depth
| vvhervvith they ſhoulde be nouriſhed, or els || ofſuchacorruptione,can ſo certaynly be kno-
becauſe they are to full of humiditye, & moy- || vven,as through the perforative Trepanc, or

£ ſture, throughec the purulet matter, vvhich c6-

cls through the little groad dravver , vvhere-

tinuallye theron diſtilleth, & corrodeth: cther || vvith vve muſt perforate the foreſayede bone

becauſe they are to much inoyntted vvith oy- || through yyhich perforatione of bone, vve ca-
6 le, & to much farty ſalves ther6 applyed, vvher- || {ily Challe perceave, vvhether the bone be bla-

by the viceration is corrupted, & purrified: Or || cke, vvhyte, or redde, & yyhether ther iſſucthe

becauſe ſhe is polluted, vvith the matter of the || bloode outor not if it be ſo, it is then a ligne

viceratione, vyhich ſupernaturallye, & from a- || that the putrefattion,of the bone is not deep.

bove is deſceded & theron cilled, | Andifſo be vve perceave, the perforated bone

V V heas therfore for certaynty vve knovve || to be blacke,itis then a token, that the purre-

that ther is putrefaQis,& rottEnesin the bone || faftione is deepe, becauſe the corruptione of

vve muſt then doe our devoyr to knovy hovy || the bone, pearceth ſo deepe, & vyhen vve per-
lardge, & profoyvnd theſame is, becauſe ther- || ccave that the bone is vyhyte, & redde,ſo farre
by vve may the ſurer knovy, hovv vvith moſte || is it then incorruprcde.

- conveniece vve ſhoulde remove & abolil he To the vyhich Carzes, or corrupting of boes

the ſame & caule therin a ſeparatione, becaule || vve muſte yſethe atualle Cauterye, or cls allſo
itisneceflaryethat the vivificert parte, expelle || the potentialle or the Raſpatorium: If lo be the
& drivefrom it the moriiticd,or els the mor- || corruptione of the bone penetrateth not very© Hoyy I5g
tificde allſocauſe mortificatione in the vivi- || deepe, vye muſte then grate the forclaycd bone vvcoughe
ficent partes. vvitha peculiare Raſpatorye, & in ra[pinge of 9*P6+

Magni- Concerninge the magnitude thereof, vve || the ſame, ſtifly cruſh thers, that vve may quvick-
rude of may diſcerneit through the lighr, vnleſſe it be || lye penetrate through the corruptione, & the
_—_ Operted yvith any viſcoufe or ſlimye fleſh, & || operatione, vvih all feſtinatione be effetede

vve ſuppoling & doubtinge to be more putre- | & done. Alldaſiger beinge novv palled, & vve
fattione of boncs, that is patefiede & evidente || perceavinge the bone to be vyhyre, ſmooth pu.
vnto vs, throughe the circumiacent partes of || re, & (olide,itis then ſufficient: For itis impol-
the viceraration, vvhichas then are purple co- || ſible,thatthe foreſayede corruptione of bones
loured through the ſpongiouſefleſh,through || may have an end,as long as vye doc not liberat,
the clevatione of the edges of the viceratione || & free the fame, by one meis or other, from all
& throughe the diuturnalle continuice of the || dafiger, & corrupti6. VVhen vve perceave,in

Hippo. fame in one eſtate:For as Hippocrares affirmeth: || raſpinge the bone to give bloode from it, it is 7
crates, Inthe venomoule vicerations, vvhich for the || then a {igne thatall corruptione is therout, and te
| ſpace of a yeare have continuede, or longer, it || thatthe bone is vvell diſpoſed, becaufe that no n
| can not otheryviſe be, but neceſlarilye in the || corrupte oralterede bones vvill give from the -
| bone vnder the fleſhe of the viceratione, muſt || any bloode. This beinge done, vve as then vſc
needes be a corruptione, putrefaQtion &a cor- || the poulder of Arz/folochiae of Mirrha of Ireas &
roltone, & ſome peeces therof come out, the || of Aloe to liberate the forcfayed bone fro al cor
Cicatrriſes alſo yvill continually be cocavoule, || ruption & przvente the ſame to be anye more
Tolule ' ® hollovve. V Ve therfore certaynlye knovy- || putrefafted and corrupted, If vve ſuppole, that ;
thepu- ingethis, vve muſteas then dilate the viceratis || the Raſparoriwmn, be not ſufficient enough, to re- dc
tr-facted denudate the bone, & dilligentlye marck hovyv || move the forelayed corruption, as vvhEſhe is de
bonts. large the foreſayede putfaftid is:vvhich muſte || deeply corroded invvardes, & vvhen as ther is a The free I
be cffeQede vvith cauſticke medicamentes, by || peculiarecorrupti6 imprinted in the bone, the ys the ſu-
the vyhich the ſpongiouſe fleſhe,mvſt be co- || ſamealloe being fatt, & oylye, & if ſo be the pa- = pany;

. ; ui : yeto re.
ſumede,accordinge as the forclayede viceratis || tient vvcare nottimoroule of the fyer , theaf- cj ajcor
reqvireth. Celſuscouncelleth vs that firſte yve || ſuredeſt remedyec as then is, that vve cauterize ruptions
makean inſcifione in the ſkine, to denudate || the foreſayed coruption, vvith an atuall Cau- = =
the bone, if ſo be the putrefaftion obthe bone, || terye, vvhich conforteth that parte, and conſu-
be greater then the viccratione, diſcidinge & || meth all venoumouſe humors, & vvith all feſ-
cuttinge of all the fleſh rovvnde aboure, vnto || tinatione cauſcth the corrupted bones to ſepa-
the ſovynde bone:touchinge the depth of the || rate, & cauſcth little, or noc payn at all, becauſe
putrefattione of the bone, vve may knovve it || the forefayed bone is inſcnfible, and doth not
throughe the privert or ſcarchinge iron, vyhen || communicate his vnhemence vato the other Ah
as vve teele theron, the vyhich pearcinge deep | | circumiacent partes. - =
or not deep in the ſame, 1 hevveth vnto vs that VVhenas therfore, vve deſire to vic itaccor- _—
the foreſayede corruprione of bone is great or | | dinge tothe depthe , & greatnes of the corup- apply the
{malle. Bur if vv (ce the bone ro be blacke & | | rion,or Carics, vve muſt therin vic a meane, of Cauterye.

dry aSit happeneth bereft of blood the privet

applvingethe forclayed Canterrd on the bone,
to vvith

—W T2

TheCau-
terization
mult be

reiterated

What vve

hr ro
SG

deep Ca-
nes.

Ahiſtorye
of Albu-
calis,

of aqves Gvillemeau.

co vvitt vntill through the poroſitye of the bo-
ne ther commeth out, a frothye matter, & noc
loger:for if yve helde itl6ger theron, it ſhould
through his great callidity, & throughe the ex-

ſiccatinge verrues therof, not onlye conſume, |

the humeditye of the putrefattion of the bone
butalſocthe naturall humiditve , & moyſture
through vyhich occaſis, the flet he ingendreth
& increaſcth betyycene the ſovynde & the cor-
rupte bones: This doinge, nature ina certaync
time therafter, vvill ſeparate the corrupted bo-
ne,fro the ſovvndebone,engendringe betvveT
them bothe,a rencroule flel he, vvhich by little
& little hardeneth, as if it yvcare Pomgranate-
kernelles, vvhich forcfayed flef he,vve oftenti-
mes may lee, grovve cleane throughe the cor-
rupted bone, & that in ſuch ſorte, as the ſmalle
render graſſe, grovveth through the groyvnde,
& as thE is the ſuppuration, & matter goode &
laudable, vyhyre, or reddif he coloured, and
vvithourt ſtincke. And vve muſt heere alloctar-
ther note, that the Chyrurgian, may ſomtimes
gentlely move, the corrupted bone being cau-
terized, & ſtirre it, becauſe nature ther through
may be opitulated, vnto the {eparatione of the
cauteriſed bone, and the foreſayed bone lyinge
ſoyvhat rayſed, may be lifred on highe, becaule
as thE it houldeth faſt noe vyhere, but yve may
not vvith any violece take the ſame therof, for
in ſoc doing, the ſoyvnde,bone, before coplet-
lyc it be covered vvith fleſhe might chaunce of
the ayre, to be agayne infected, and corrupted,
Nether is it ſufficiEr, that once vve apply the
Cauteryec theron, but muſtdivers & ſundrye ti.
mes doe the ſame, nether muſtit be glovvinge
or red hott, but reaſonable hott, removinge of
the forſayed cautery fro one place of the bone
10 the other, or houldig of the ſame in one pla-
ce, vntill the place be throughlye vvarmed,
The corrupti6,therfore or Carzes being very
deep, vve muſt them trepane or boare it vvitha
perforative Trepane, vnto the ſovvnd bone, or
vvith the ſmall groundedravver, make divers
hoales therin, the one cloſe to the other, ofan
zquvall depth alſo, as the corruption of the bo-
ne is, in vvhich trepaned hoales , vve mult as
theE apply ſome lirtle hott aftuall cauteryes be-
cauſe the foreſayed bone, ther by may be thro-
ughlye dryed: By this operation, the corrupted

bone vvill ſeparate it ſelfe fr6 the ſovynde bo- |

ne,as heertofore yve have ſayed. It ſoc be that
the vyhole ſubſtice of the bone be corrupted,
& corroded, vve muſt then yvholyec remove, &
rake the ſame a vvay. As©Mbucaſes,to this pur-
poſe, reciteth a memorable hiſtory ot on vvho-
me at three ſidry times he tooke avvay allmoſt
the vvhole ſhinne bone, dividingalio the ope-
ration, in thre ſundrye & zquvall times, becauſe
the paticnt yvas notable,to collerate ſoc greate
payne, becauſe of his great imbicillirye, & altoe

,

—

|

|
|

|

—

becauſe Albaca/7; feared lent that vader his hi -
des he ſhould have diede, becaute through cer-
tayne evacuations, he allvvayes fell into grcat
ktayntnes, butin theend vyas perfeAlye cured:
andin place of bone, ther ingendred in the pla.
ce,a harde carnoſirye, vvhich ſo miraculouſly
fortifyed from day today, that he during ſome
continuance of time therafter , coulde agayneg
couragioutiyegoc one that legge.

VVheastherforeitis requilite,toapplycthe
foreſayedaCtuall Cauterye one anye certavne
place, vve muſtdilligentlye conſider, hovy vve
mighr liberate, & defende, the circumiacet par-
tes of the VIceratione, leaſt they be touched of
the cautery, vvhich vve may vvith moſt conve-
niEcedoe, vvith ſome certayne plaſters, becaul
nether the fatt nor any other ebullicnt humi-
ditye, vvhich through the calliditye or heate of
the cauterye might chaunce to runne therour,
one the ſe}fe ſame circumiacet parces, of the v1-
ceratio, & thattherby they chaunccd not to be
burned, & ſcared, vvhich yrould be the cauſe of
greate payne and doloure,

Novv thertore to correct & cure the Carzec,
or corruptio of bones, therare divers Chyrur-
giancs of our times & age, in place of the attu-
all Cauterye vic the porentialle : amongeit the
vyhich the ovle of vitrioll is in the molt chee-
feſt, in like fort alloe the ovle of franckinſoce,
vyhich of divers Chyrurgians is highlve com-
mended, andeltcemed.

=

Of the Fiſiel of the Findamen; .
Cha p.2.

Nd becauſe vyc have not hee:

al fiſtles, & rodiſcourt of thei-
re matter, & conditions, vyhar
partes be therof polluted , of
their occationes, fignes, prog-
noſticationes, & of the;jremedyes, of theire cu-
res,it ſeemed expedient vnto me, breefelycto
ſhevve,the mcanes, tocurc thole vvhich reve-
ale, & dem6ſtrate thetelvesin the Fyundament,
& that eſpeciallyc through a convenient hand-
linge, or operatione of Chyrurgeryc yyhen as
({hortlyc and breeflye 1 ſhall have taught , in
vyhat forte vve may belt and cafvcit knovye
them.

Thoſe Fiſtles vvhicharec ingedred inthe fun-
dament,arc of divers & ſundry fortcs:for ſome
of the arc occulte, others patctycde, the occul-
ted arc ſoc called, becaute vve noe yvher exter-
nally eſpye them,and internallyin the forclay-
ed fundamentr, or cxcrementall gutt havethei-
reapertio, & ifluc in the muſcle Sphin&er, yvhe-
ther they be ſituarcd vpvvardes or dovvnvyar-
des,or any vvher one the ſyde, adioninge varo
any of the tyyo buttockes. Y V hich allthoughe

| L 11 YVs

Fol.34.

intended generally to vvrite of

The cit-
CUNNUACEL
partcs of
the vicc-
Iaitlon
mult be
ticede.

Divers tc-
mcadvcs a
gaynit the

C alles,

Intention
oft the
Aucthor.

Thiehftles
ot the t&-
dament,
arc ether-
hiddenor
apcrrtc,

” — —_ A.

vvecan not evidentlye perceave them, yet may
indge,that the forcſayed partes,arc hurte or hi-
dercd , throughe the payne and throvghe the
{tinckinge matter, and humiditye, vvhich iflu-
cth out of the forclayed fundament,& through
the vvhich commonlye, the { hirtes of the pati-
cnt are polluted, & throughe certayne vicerati-
ons alſo, vvhich before times in that parte they
have hadde, or through ccrtayne internall he-
morrhodes, orthrough any invetcrate vvoid,
vyhich vvas badly cured. V Ve mayalto ſomti-
mes ſee ihem vviche our eyes, through the Spe-
| crlum 111.

The patefyed Fiſtles,are therfore ſoe called,

HA becauſe immediatlye vvithoutany daiiger vve

|
f l-s of the may evidentlve ice them:Of the vvhich ther a-
ſudamet. re ſome yyhich lve croocked, and curved,& al-
though they have but one apertion, vyhich vi-
ſiblye vve may ſce, yet they have divers vyayes,
branches , crcubicles, like Conyeburrovves,
vyhich of thcire patent Orifcaum, jn the bodye,
runncthis vvay and that vyay,vvhich vvith the
| ſcarchinge iron ſomrimes vve may finde, vvhe
f as vve thruſt itihis vyay or that vvay, vyyher vve
feele it of his ovvne accorde toenter, together
' alſo, out of the great quantity of matter, vvhich
daylye iſlueth thcrout, vve may caſylyc judge,
that the forclayed Fiſtle, muſt needes have mo-
| re concavityes,then by the exiernall fiſtulouſe
| apertione vve can iudge, vvhich at ſomtimes is
not greate.
Ther arc alſoc ſome Fiſtles, vvhich exrernal-
| '_ Iychavebutoneiſſuc,and doe not paſſe throu-
ghe the concavityc of the externall, or arſcgutt,
or through the muſcle Sphinder,as caſyly thro-
ughethe privet or ſcarchinge yve may percca-
ve vvhen vve thruſting the tame therin, vve ci
| notanye vyher perccave it agaynſt our fingers,
[| to the vyhich intent vve mult thruſt the ſame
1 middle finger of the left hand in the fundamer,
| for if it ſoc be that vve betyveen our finger,and
; the privet feele anye thinge it is then a ſigne
| that it doth not pcarce throughe bur if vve fee-
le itagaynſt our finger, it the pearccth throu-
ghc.
And novv as concerning the curation of the
- _ ſame, vvC vvill not heere treate of anye thinges
meancs Þclonging vato the medicamenrtes, but onlyc
to cure {pcake of the Chyrurgerye to the curing of this
_ # = difleate:the vvhich on athreetoulde manner is
dament. taught vnro vs, as vvell in the curatione of the
inicrnalle,as externalle Fiſtles : to vvitt,cther
throughe ligature, inſcifionc,or through Cau-
rcryc.
Although _Mrurcenna, vvith more others are
of opinione, that vvithanye of theſe forelayed
remedycs vvc ought in noc ſort to meddle ther
vvith vnics,they vycarc too intollerable , and
moleſtiouſe ynto the patier, bur that vvith cle-
ancliancn,vvith Cotten, and vvith decent and

”%

The Frenche Chirurgerye

convenientlavamentes, vve ought to ſuſtayne
them. Burforall this not vvithſtanding, I vvill
tecrediſcribe vnto you, our yieand cuſtomes
of theauncient Chyrugians. 4

Novv therforeas vvell to cure the publiquve,
and patent Fiſtles,as the occult and hidden, vve
muſt cauſe the patient convenicntly to lye,na-
melye that the patient muſt byc one his backe,
vvith his legges on highe, retayningand houl-
dinge the forefayed legges,cloſe vnto his belly,
and this is the maner, and cuſtomes of ayn-
cient Chyrurgians. But vvc novve a dayes, cau-
ſe the patiCtroſtande on both his legges, vvith
his heade, lyinge ona bedde, diſioyninge & ſe-
paratige the forclayed legges vvyde the one fro
the other, vvhich alſoe of rvvo ſervantes or ſti-
ders by muſt ſoc be helde,, leaſtthat he agayne
might chaunce rol hutthem. The paticnt be-
ingthus ſituated, rovvardes the light, vve { hall
then thruſt the middlemoſt finger of the left
hande into the fundamente, havinge vvith ſo-
me certayne oyle anoynced your finger , and
pared cloſe your nayles:and in our right hande
vve mutt have a privet or ſcarchinge ir6, infor
me ofa needle,in the vyhich at the on end ther
of muſt be a threde, vvhich forcſayed needle, or
Privervve muſtthruſt into the 0ri/icium of the
Fiſtle vntill vve ſenſibly fecle the ſame on our
finger,and then vvith our finger recurvatc,the
end of the forclayed needle, & neatlye, & con-
venicntly reduce the ſame vntothe fundamer,
and then drayve the ſame therout, dilligentlyc
obſcrvinge; that internally yve hurte orvvein-

de nothinge,and the thredealſoe beinge paſſed Hovywe
throughe the fundament yve muſt then cut of yjug

the foreſayed needle from the threde, & tye the blique, or
rene

Filtle

endes of the foreſayed threde both together,
dravvinge the ſame reaſonable faſt , and cloſe
together , and vvitha ſlidinge knott binde the
ſame together, becauſe daylye vyc might knitt
the ſame cloſer , and continuinge this ſame
ſoclonge in this ſorte, vnrtill ſuch time as vve
ſhall Lave cuttavvayall the thred vvhich vyas
remayninghe betvvecne, both the Orificia,
and both the apertions be come to one , and
the threde conſequventlye, vvithout nyc mo-
rediſlectione of the ſame, ſhalbe taken there-
our.

But vve perceavinge the Fiſtle to have no
iſſucin the concavitye the arſegutt , and the
necdle doth not come out agaynſt our finger
beinge in the forclayed arſcgutt, and that ther
as yctis ſome pecllicle, or membrane beryvecnce
them both , the needle havinge a reaſonable
ſharpe acuirye or poyn&e , vvc mult thruſt
the forclayed threded needle, or Privett, bo-
uldlye, andaudacioulclyetherthroughe, into
the foreſayed concavitye of the Arſegutt , be-
cauſe vve mightalſo dravv the foreſlaycd thred
therourt,asalrcadve above vye have mttioned.
Je VVe

oy
ml

_

K

of laqves Gvillemeau.

VVemuſtalſoc heerc farther note, that this
privet, or needle, muſt ether be of goulde or lil- |
ver, becauſctl hee may the caſyerinternallyc in |
the forelay ed gutt be recurved. V Ve vic heer-

vntoa lilyer plate, vyhich thervnto exprellely,,
vvecauſed to be made,as this ſame plate, & the |

foreſayed Privettpr, needle, before amog(itthe |

figures ofthe inffrumentes, are alſo defigured,
and (ett doyyne vntovs.

The threde mult be of courſe thred, the ſame
beingtyviſted thre or foure times dubble. And
becauſe that ynto ſome, the diſſeCtione of this
ſimple threde,falleth ſomvyhartredioule , they
annoyncte the ſame vvith ſomeCaulticke me-

ion UCAMeEtes.GT 4do,cffcerh this diſletion, vvith
Gvido. a reſcindent actuall Cauterye, & to prx vent the
ſame that irpearce noe deeper,theni it ought, he
thruſtcth in the fniitlea hollovy Privett, on the
vvhich concavityc, he vvith the forclayed Cau-
terye pcarceth the { kinne,andin like fortalloc
curtcth throughethe filtle, bringeth, & dirima-
teth avvay vvith it the calloſity ce, &prexventeth

alſo the fluxione of bloode.

Others vvil not in anye forte, have the fiſtle
oY RG cautcrized, nor boyvnde, & tyed, but vvill only
on in the have thar ſame to be inſcided vvith acroocked
fille, the lancetr,vvhich is betyvccne both the Or7/icra, to
wzeit, yyirr of the filtIc, and the excrementall, or arſc-

gutt, & that alfoc vyhich internallye is grovvcn
callouſe, they vvill have it to be crudityed and
made ravy, or excoriated,as vve are vicd todoc
in the haremouthes;yet dFlyec experience tea-

Iris ſarer

0 Es ROI ern noon

—_— —

— ———

I un——rnn —o —

cheth vs, that the ligature is more certayne, the |

the inſ(cilione ,

vvherin vve ncede not to take |

avvayc the calloſity, becauſe it oftTtimes chaii- '

ccth, that yve endevoringe to remove,and take

avvay this calloſitye, vvediſcide,and cutt of any |

; ofthe Fibres, of the muſcle Spincter ,

vvhich

beinge vvounded,or hurte, the paticnt therat- |

ter can in no ſorte reſtraygne his ſtooles, or ex-
Ccrementes.

It may ſceme admiraculouſe, & ſtrange vnto
ſome, that I vvrite that, the fiſtle may be cured
throughe the ligature onlye , vvithout remo-
vinge the calloſityc, becauſe it ſcemeth oppug-
nant vato rcaſon, becauſcall combinatio nc,&
hcalinge rogether,is cauſed throughe the ioy-

ninge or touching of yveake thinges together: |
yet I dare affirmec, thatall thoſe, vvhichl have |
ſcen tyed , have 'bin perfectlyc and ſovvnd- |

lye cured vvithoutin any ſortto havetouched,
or removed the callolityc.

Novv tocome to the operation of the hid-
den fiſtles , havinge ſituated the patient as be-
forc is ſay ed, vve mult then applye therin , the

Speculum Ani,opening the fundamert thervvith,
Lows the leaſt payn vve ci, as vvydeas is poſli-
ble,allvvayes annoy nQinge the forclayed Spe-
culum vvith oyle, throughe the vyhich ſayeda-
pertione,the Oriſicium , of the yiceratione may

\

— —— -

| fiſtle 5

—

Fol.35.

appeare & bcapparct vnto vs, be-tvvixtyvyhich
"oncavityes or braunches, vie mutt thruſtina
privet, vyhich muttbe of arcatonablethicke-
ncs,or cralitude, like vato tmall & little need-
le vvherevith vvcare vvomed to make our {iit-
ches, vyhich muſt be blunte, & in the one end
muſt vvitha threede be threded , vvhich fore-
layedneedle, or privet, vve mult thruſt vynto
the bottome, or grovvnde of the tittl!e, vvhich
pcnetratcth vuto thet kinne, as vve calily may
tcele vvith our finger,on the vihich, vviththe
croocked lancer vve muſt make an intcilion ,&
the need!c beinge in this forte paſled through,
& the Speculi Ani beinge taken avvavy,vve muſt
then dravve out the needle, and cutt her from
the thred,andtye bothe the cndes therot toge-
ther.

Otherſay vve ought belides the privetr, in
ternallye to make an infciftionec throughe the
vvhol Fiſtle, vnto the other hole, vvhich is ma-
de on the other {yde:but there is moit certayn -
tycintheligatione,:o avoyde the ctt hixion of
bloode, yvhenacther is ſufficient flo! h cnough
betvvecne,

Ther have binnc ccriavn aunticnt Chyrur-
gianes, yvhich coulde not agree vnto the Specy-
lam Ani,but have onlyc thrutcthere finger into
the fundament, rodilate the (ame, and beiydes
the ſamea thinne and putille privertt , vyher-
vvith they have foe longe telt thervvith this
vvay and that vvay & vp, and dovync, till tich
timeas they have fovvnde the Orificium, ot the
fille,vvhich isfeltasifit vvcarea thinge rcnr,
or torne, and novy hauinge fovynde the tore- ,
ſayed Orificium , they then cloſe to ther finger {. -
thruſt inthe privett , conducinge the ſame a- or myo
longe the finger tupernallye, or vpyvardcs, or one.
thether vyher they ſuppolc the bottome , or,
ground of the filtle todelilte,and end : vyhich
throughe feclinge of the- tinger of che otacr
hand vve may calylyc diicernc : and havinge
fovynde the end therot , and perccavinge thc
ſkinne or the flethe notto be verve thicke, in
ſtede of ligatione, vve violentlve thrattthe Prt-
vett ther throughe, pvvarges, the privett bci-
nge paſled therthroughe, they then cutt open
all that vvhich is fituarcd betvvcen thervvod-
ri/icta of the Viceration , orels they thruſt a
threde ther throughe, and toc binde it thro-
ughe.

Amongſt thoſe vvhich arc of opinione,
that yvc ought to cure the tittic throughe an :
atuall Cautcrye Albucaſes diſcribeth vnto ys Albucats
the meanes, vvillinge vs to vic a Cauterye of
iron therv nto , Vyhich mult be verye lubtile,
and glovvinge, or redhotr, and that it be pro-
portioned accordinge to the greatnes of the
thruſtinge the ſame tvvice , or thrice
therin, vntill ſuch timeas all the calloſityc 15
taken avyay ther from,laudinge the fervent, &

gloyving

_— A ST
0-40 enngs—-—— ES BC

Ic DJI_ _

—

” ys WT. AD. on —_— — — cc <-ccC.DEATCMCCRCCCce een —_—

—

4 —_—.
-

—— ACA as £6.56 cc. ooo> omoaþÞ Cal. ak ea Kol 4 A

glovvinge Caurerye , above the curtinge or re-
icindent Cautcrve , becauſe the gloyviuge
Cautrery,ashe ſaye:h correcteih andamendeth
the vnteperatnes of that parte & ther follovy-
cth noceffluxione of blood the calloſity ther-

{cmblecd together ynto that patte,

29 H0Wv ve ought to extradte, & draWve forthe little
infantes out of therre mothers bodye, Which of them-
ſelves a1 not be borne. Chap.z.

»= Efore vve offer to imployour

6 < Ne wa .
Admont- oy 3 hides,on ſuch on opecratione:

tion for app :
the Chy- itſcemed expediet vato me to
curgiane, admonil he the Chyrurgiane

vi hat vvoeme may eſcape this
S— daſiiger, becauſe vve{ hould ob

tayne great blame and diſcredite, vnto our ſel-
ves, if fo be the vvoman being in childebearth,

ſhould chauncev:derour handes todye, ſhe
ſuppolinge, by our helpe, & councell to be re-

Theſiz- leaſed our of this daunger, V V herefore thoſe
nes vvher yyhich yveſuppole to be indaunger of death,
—_} vyve maſt notin any forte laye hides on them:
rurgian is becauſe the countenance and cheare of thoſe
hindered, yyoecmen vyhich arc in laboure , orchildebe-
ws 4. artheandalſother face, adminiſtreth ſufficient
child our knovvicdge ynto vs , vyhatevent, or ſucceſle
ofhismo- the matter ſhall have : for thoſe vvhich are in
_ 59- any greatdafiger, of thcirlives, havea ſtraiige
= ncof & vvonderfull behaviour over them, to vvitt
itſelfeci that ſhee troubleth, or moleſteth her ſelf yvith
ar = nothing, hatha fearfull ſight, vvhich is cleanc
* contraryeto her naturalle beinge', is debilita-

tcd, hath hollovve cyes,a { harpe noſe, a feeble

Puls, vvhich beateth obſcurely,and vvithout ti-
me:Shec is vvholy covicted, as it { he hadde the
ſoporifcrouſe diſicaſe, vvith out all ſtregth,cle-

anc laycd alonge, & although vve ipeake vnto

her, yet vve can notavvakEe her,&if yvedoclog
trouble, & plucke her,ſhee ſpeaketh verye fee-

blelye, & vvith noe ſtrength, and then agayne

lycth,as it yvearc ina great ſleep: the ayre alſoc

flycth out of her throte. Thoſc in the vyhich is

anye ſtrength left, they fall into Spaſmo, or con-

vullion of ſynnues. Othersaftcr they haye con

tinueda long time in thcire labors, as are thoſe

vvhich have bintroubled & moleſted theryvith

the ſpace of five, or fixe monethes , they arc
vvholyedecayed,grovye leanc, & vvholy con-

ſumed, for vvanr of foode, & becauſe alſoc that
vyhichſhee hath caten,is not chafiged into any
nouriture, the yvhol boodye beinge thorough

loacked vvith humidity, & c{peciallye the face,

vvherot her ſ{vveat moſt commonlyc,is fattye,

& axungioule,and ſmearye.
But thoſe vyhich can luffer the manuall o-
peratione, & ate fitt, to have the child dravven

of is burned avvay, & the ſuperfluouſe humidi- |
ty isexliccated, vyhich vyas concurled, and al- |

—O——<

The Frenche Chirurgerye

out of thcir bodvye,, have none of theſe fore re-

hearſed accidentes , vvherfore vvithall feſtina-

tio alſoe they muſt be opiculated, & helped, on

this maneras hceratcer tolloyveth norvvitſti-

anding vvithourt raſhlyc,or temorouſly to be-

ginne the lame, vvithour beinge certifyede, of

the Midvvyfe, vvhat the reaſon or occaſione

might be, vvhye the vvoman can not bedelive-

red, or bringe forth her childe, beinge certifyed Ther are
heereof,as yvcll of the parturinge vvomi,as of _ thin-
theMidvvyfe,inas muchas is poſſible, dilligEt- _—
ly conſidering the ſame, & having vvell perpE- make
ded it, thcrout to knovve the iuſt occalione of Childe
this heavines & ſorroyy,conſidering, vvhether cue,
itraketh his occaſion of the parturiet yvomen,

orcls out of the childe , becauſc therby vve

might knovy hovy torule, & govern our ſelves

If ſo be thisdaiger conliſteth inthe mother, ,-- ®
it happencth then, cther becauſe of her miſtru- *
ſte or ([malle hope,or becauſe hee is fcarfulle,
and fayntharrted, havinge the vyombe, andthe
necke or entrance of the ſam, ſmall & anguſte,
becauſe { hee is yonge & ſmall of body, tender,
anddelicate: Orels becauſe the entrance of the
forefayed V Vombe, lyeth recurved, oris occlu
ded vvith ſome tumor, or els there is ſom Apo-
ſtematione viceration,or any Carnolitye ther
in, vyhich oppugne themſelves agaynſt the be-
arth of thc infant : Ether becauſe thatthe mo»
ther, hath a ſtone in her Bladder, vvhich therin
alſoc beinge oppreſled , ſecketh byall meancs
poſſible to come therout, and beinge come in-
to the mouth, or entrance of the Bladder, cruſ-
heth there the entrance of the VVombe, vvher
throughe ſhe isanguſt, orels becauſe therin is
ſom cicatrice, vyyvher through ſ he is narrovver,
then ſhe ought to be, vvher through ſhe ci nor
in any ſorte ſtretch forth her ſelfe.

Childe bearth alſoc in ſome vvoeme is hin-
dered above all theſe foreſayed accid2ntes , be-
cauſe they artofearfull, & are to much affrigh-
ted, of the parture , or Childbirth , as yetnot
beinge vicd ynto the labouring of childe, & doe
nor yet knovve therafter to governe thEſelves,
as vvearecondecent,and needfulle. Others are
grovync impotent, throughe anye przcedente
lickneſſes, and having noe ſtrength atall to de-
liver the conceptione or fruicte from them.

The childealſoc may be occaſion heerof,be- 4, ,..
cauſcitisto feeble, and ci not helpcit ſelfe,in ge,
the deliverance of his mothers labors, and that
c(peciallye vyhen it is deade,and ſvvollt:in like
ſorre alſo the ſame beinge to groſle, and greate,
ctherin any parte of his body, as havinge tvvo
heades,fourarmes, beinge dubble,or cls if ther
be moe, then one, to vvitt, tyvo, three, or four,
vrherof the one might preſent hisarme, & an
other his legge, or anye other part , allatone
time.

Afther the infit przſcatcth himſelfe, the
childe-

pa, 41 1

= .}

that follovvinge the naturall Childebirth, the
childe allvvayes przſecnteth firſt his heade, ha-
vinge hisarmes ſtretched out alogeſt both his
ſydes: or vvhe it praſEteth it ſelte vvith both
the legges forvvarde , vyherby it may caſylye
be plucked & drayven out: & yyhen it prxten-
icth him one anyc other manner, it isa$then
not naturall, but verye daungeroule, vvherin
vve muſt vſc our remedyes as heraftcr thalbe
{hevved.

Touchinge the externall occaſliones, they
nall occa- arc ViOIEt heate,, vyherthrough the ſtrengthe
& forces of our bodyesare convicted : contra-
rilyc,ther is great could, yvherthrough, all the
conduictcsare ſtopped asallſoc are thote per-
ſons vv hich vvefcare,or hate.

The childe alſoc as longe as it lyeth drye, &
the vvater as yetis not broke out, vyyherthrou-
ghe itcan have no paſſage, becauſe the vvayes
& pallages are dryc,& not {1 ppery, not {moo-
the,as in the vvater ſtreames yve may ice, that
the ſtones through the llipperiſheneſle ofthe
The ope- Vvatcr,are carryedayvay. Inlike fortalſocall
catione. ſorrovve, & tribulatio, ſtoppeth & occludeth

the entrance of the vyombe : as cotrarilye the
meane, & reaſonable iucunditye, openeth the
ſame.

All theſe foreſayed occaſions, muſt be c6pa-
red, ynto ther c6traryes, as if ſoc be that thro-
ughe the imbicilitye of the mother it be occa-
fioned,ſhe muſt thE be conforted, givinge her
alictle vyyne, or Hipocras,conforting, & ioy-
inge herin her neceſlitye, as muchas is poſli-
ble: & if ſoe farr forth as the paſſage, be to nar-
royve,oranguſte, to exliccate,or dry, orelsto
much {hriicke, vve mutt then, cndevore vvith
decoctiones, vvith vvarme infuſions, & vvith
pingvefaQtios,to ſoften, moyſte, & make ſup-
ple the ſame: It then ther be anye carnolitye,
vyhich in terrupteth the paſſage therofe, vve
muſt depoſe, & detrude the ſame one the one
ſyde : or if ther bea ſtone in the entrice of the
bladder, vve muſt thruſt the fame on highe: &
if ſoc be the Childe othervviſe przſcnt it ſelte
the it ſhould,as firſt vvith the heade, vve muſt
then turnc itin the beſt ſorte vye mayc:or if it
thruſt onearme, orlegge out, vyc muſt not
thervvith dravve it out, but muſtgentlelye re-
rrude it:backe agayne, & agayne bringc it into
his place: or if ther, be more the one child, vve
muſt dilligently conſfider hovve vve ought to

—

take hould therone, notinge that vve doc not |

take the one by the foote and the other by the

foote, & ſoc both at once plucke the, vvherfo-

re vve muſt thruſt one foote on highe, & dra-
Hovy vve VVE tovvardes him thefoote of that vvhich is
oughtto next, & moſt redieſt ynto the paſſage.

_ But before vve come to the manuall opera-
me YY9= ti6,vye mult firſt of al fituate the yvomi con-

of laqves Gvillemeau.
childebirth falleth'caſye,or difficulte: becauſe,

|

venientlye: & although ther be divers miners
of lituationes, (for ſome ett thT in a ſtoole,o-
thers ſer the Ieanige,on a table, or one the ed-
geota bedd, vvith the legges {cparated the 0-
ne from the other: others tet them one theire
knees) yet the beſt & fittest yvay is one a bed. <
de, cauſinge the vvomi tolye one her backe,
thvvartc over the bedde,clolc to the edge ther
of, vvith cut hes or pillovves vnder her backe,
to reſt her heade thero, layinge her heeles clo-
ſ{cro her butrockes, vyhich muſt lyc altoe ſom
vvhat exalted, and the hippes ſpanned the one
fro the other, vvhich of tvvo vvocme mult to
& in that forte be helde, leaſt that ſhe doc not
chaiice to dravve, & ſhuttthem together : the
vvomi lyinge in this forte, the Chirurgian as
then may the ealyer obtayn his vvill,and com
cloſe vnto her, todrive, & detrud the child to-
vvarde the entrance of the vvombe.

The vvomi beinge thus (ctied, or layed, the
Chyrurgii mult lay one the knees, & one the
belly of the vvomi acleanc linne clothe, par-
tly to bean opercle , or coveringe to the vyo-
man,& partlye ther through to be treed from
the externall ayre: the he muſt gentlely thruſt
his hande beingannoynctd vvith fret he but-
tervvith Sallatoyle, or vvith hogges luct,in to
theentrance of the vy ombe, firit of all c: pfide-
ringe vvhether the childe bealiy e,or deade, &
hovv itistherci diſpoted, orturned, vvhether
alſo ther be more the one, tvyo, or thre child-
rena fore hides: & hovve focver it belituated, Ih- child
or diſpoſed, etheralive, or deade, curved, or . mult
croocked, it it be pollible vve muſtdravvetke h. eade be
heade firſt out, but if not, vvith both the leg- <:2vvne

ges,dravvinge the ſame xquvally dovynevvar- V1

v\v1th che

des, & caute,one of the armes, to be i{tretched fe 7c if is
out,alogeſt the {yde of the heade, becauſe ther b- pollz-
throughe may be hindered, that the bodye be- be
inge therout the vvombe doe not chaunce to
{ hutr, & the necke of the Childe be not therin
incloled, vyhich through thearme vvhich ly-
th ſtretched out by his headet halbe prxven-
ted & hindered. If to be the one foote pra{cn-
tcth it ſelfe, & the other tarrye theri, vve mult
tyc the forelayed toote vvith a ribbon & gen-
tlye thruſt in agayn the forelayed toote, futte-
ringe the end of the ribbon to hange our, and
inquire, & ſecke atter the other oor, thruſtin-
ge the hande,along(t by the forclayed toote, &
legge vntill ſuch time,as vve icelc the buttoc-
ke of the other foote, & then reducinge your
handecloſc ro the buttok { hall immediatlve
finde the other toote, vvhich gTtlely you mult
bring forevvardes, & dravvinge by the ribbs,
the other toote, vvil come forth agayn, vvhich
having the both xquvally together muſt getly
dravve the our vvith, the relt of the vvholec bo
dye of the child: by this means vve may knovv
vvhetherthey be both the legges of onechild,

on this

Fol.36,

vith his

Lt

4a

The Frenche Chirurgerye

on this minerdravving out the ſame ,firſt the
one & then the other.

$i5ns of But if ſo be the Childe bedeade, it vvill nor as |
then ſtirrcitſelfe, & in the feelingeallo ther. }

a d-ade
Childein gf jr yyillbecoulde, vyhenas vve thruſt thefi-
his mo- kn
th-rs bo. £crin the month therof it ſtirreth nether lip -
dyc. pes,nortunge toſuck: The mother as then
hath a ſtinckinge breath ,hollovve eyes ,and a
ſvvollen bellye : yve therfore out of all theſe
foreſayed rokens , perceavinge the Childe to
be dead, vve muſt then dravve it out asalready
vve have ſaved vvith the feet forvvardes : As
farre forth therfore as if the Childe had one
arme or one Legge hanging forth of the vv6-
be & it vveare impoſſibleto reduce the ſame
agavne into his former ſitvation , becauſe that
throughe the bodye of theChilde, the entran-
ce of the vvombe is ſtopped , vve muſt then
plucke the foreſayed arme or legge & dravye
itrothe ioynce of the { houlder, or of thehip-
Hovy vve PE Sthen diſcide, & cur of the ſame in the fore
oughtro layed ionfte. Andif ſo be the heade did firſt
dravve repreſent it {clle , vve muſtthen thruſt both
-- by our fingers into the mouth therof in place of
Chitde, ahoocke, rovvardes the roofe, and ſoasgent-
lve as is poſſible dravve the ſame tovyardes
you. If ſoc be the belly therof be ſyvollene,or
hath to greatea heade , and the ſamefulle of
vvater, vve muſt then vvith our finger, alittle
cruſh theron , becauſethe aquolity might ſo-
acke therout , and the ſvvollen partes by this
meanes be diminiſh2d and vnſyyollen : & if
ſoc be that our handes yveare not ſufficientto
dravve out the Childe,or to finde the belly, to
let out the ſayed Aquoſity, vvhichether is re-
tayned,in the heade,in the Breſt,orin the bel-
lye, vve muſt then gently vvith our right han-
de bringe therin, alittlecurved and croocked
knife, vvhich vvithin the curvednes therof is
ſharpe,and cutttinge, the acuitye or povnate
therot being cloſely incloſed betvvixt his fin-
Afer gers, vvhich he muſt houlde veryecloſe toge-
_ wy ther, vrhervvith vve muſt make an inſcilione
dravy Etherinthe Heade, in the Breſte,or els in the
forth the Belly ,by this meanes to dravve forth the vya-
=_mg Fg tcrvvhich is therin cGtayned : And then vve
deag> muſttake ,a hook ,vvhich on the ſame faſhon
Childes aSisafore ſaycd vve mult bring therin ,vvher-
bodye. of vvemutlt faſten the poynte , ether in the
eves,orin the mouth , or in the Clavicles ,
vvheron vve mult then dravve as violentlyc
as the cauſe requireth to be done , dill'gentlye
colideringe that the hooke breack not through
& let his houlde goe, & through the violente
plackinge of the ſame doe not chaiice to hige
& rake houlde in the VVombe,to the vvhich
inter ve mult viith as much indgemetr, & cofi
deration, dravve the fame as is pofſible, onlye
vvith one hande vvhich muſte be yvithin the
YJVVombe. Novvifthe Childe, beſothick,

& ſo groſle, that vvholy ro dravv it out is impo

ſible forvsorelsifit bea Monſter , or tvyo 7, mt
|

{truouſt

Childrenefaſte together ,vve muſt as then by Child.
parcels drayve them out , cuttinge the Heade
thereofin peeces,& then plucke our firſt the
the one peece, & then the other, then the Breſt
the Armes,and the legges, & allyvayes makin-
ge that it be cut in the ioynRes, vvithout brea-
kingeany bones:for although they be tender,
yet the (plinters therof might chaunce to hur-
te the yyombe, ſoc that it is allvvayes the ſureſt
vvay vvecuttof thc Armes, andleggesin their
ioynces,

It chaiiceth alſo ſGtimes, that vve dravvinge
forthe the Childe by the legges, that onlyerthe
head tarrieth therin vvhich therafter vvithour
great difhculty vye ci not get it out, thE vvith
extreamedaunger , becauſe the ſame rovy-
lethvp and dovvne in the concavitye of the
vvobe:this therfor being happened, ther muſt
asthena ſervant , or one of the ſtandErs bye
vvhichis experimentedin ſuch affayers, ſirtig
onetheleftſyde of the vvoman, crul he vvith
both his handes one the bellye of the vvomi,
beinge covered vvitha vvarme cloth on this
' manner todepreſſe doyynevvardes the heade

| of the childe, and therin that place to contay-

ne, and keepe the ſame. And the Chyrurgiane Hovyv vre
vvhich ſitteth on the right ſyde of the vvoman _—
muſt vvith his right hande bringe the hoocke the hea-
therin,as isalready ſayed, vvhich he muſt faf- de of
tE in the heage, cther in the eyes, in the mouth q_—_
. - as
orin the apertione of the heade, & dravve the ye remay
ſame by little, & little therout, as if,as yetthe ninge in
vvhole bodye remayend therin : If ſoc be the **©v\0%8
foreſayed head vveare to great, vve muſt then
in like ſortealſoe cutt the ſame in peeces,and
dravy therout the peeces firſt the one, & then
the other.
The Childe beinge dravven therout, vve
muſt dilligentlye conſider , that vve doe not
breake a ſunder the navell, becauſe it may ſer-
ve for a conductor, & leader, vvhich vve muſt
allvyayes feclinge the ſame,and ſuffering it to
glide throughe our right hande muſt follovve
yntill vve become tothe matrice vvhervvith
the Childe vyas covered in the foreſayed vvo-
be: & hauingefound the ſame, vve muſt gent-
lye rovynde about ſeparate her vyher vve fin-
de her to be faſtened, & then dravve her forth
vvith al the cogregrated blood ther), if therbe
anye, leaſt that there it might chaunce to pu-
trifye : havinge thus finiſhed all this, the vvo-
man as then { hall ijoyne,and ſhutt her hippes
togetheragayne, and muſt then circumligate
the bellye,as is required, and neceſlaryc.
In this forerchearſcd daunger, is oftenti-
mes incident vnto the vvoman a farre more
lamentableand pitiful accident,to yvitt, adiſ-
cendinge,and {inckinge dovvnyvyardes of the
yvombec,

ms A a _ 4 ws. s-

Sy One <4

of laques Givillemeau.

yyombe, vyhich bervveen the hippes ſincketh
out,throughe the vvhich the vvoman, can not
The m- £0c- If ſoc be therfore this chaunced, vve muſt
nertoele- gentlyc,and calilye by degrees thruſt in agayn
vatea” the ſame,as vve havye fayed of the guttes, or cn-
Bk & tralles being ſunck out, vyherof vve muſt cau-
diſceded ſe thediſſeaſed and ſicke vvoman to keepe her
Matrice. heqde ſome certayn cotinuance of time, vvith
her burtockes a little exalted, and it foe be the
Matrice in her rilinge chauncedagayn to linc-
ke out, vve muſt then agayn,thruſt in the ſame.
And to prevent her that ſhe doe not agayne
ſincke out of the bodye, vve muſt thE thruſt in
the Matrice a Peſſarium , like a rovynde Apple,
vvhich muſt havea hole in the middle therofe,
as hcer before a mongeſt the inſtrumentes vve
may ſec itdefigured vnto vs yyher vve { hall al-
ſoc finde, the forme, the figure, &the manner

of viinge the ſame.

29 V/Ppon What occaſione,the externall partes a5 Ay-
mes, and legges are, and muſt be extirpated, or
cuts of and in What place it muſt be do-
pe. Cha Page

He externalle membres of mis

When, & A > bodye,asare Armes, & legges,
vwhyerhe 1 Ke \ are cutt,or ſavvedof, vvhca as
erernall IF CA —_
muſt 7&3 they are {qviſcd, plettered, and
favved iI/ FARSI broke, the Vaynes, Arteryes, &
of. ACS) Synues, vvholy be laccrated, &

cutt of: Or els yvhen they concerninge any ex-
ternalle occaſioneare hurte, or indammaged,
vyherby they ſotimes vvholy come to be mor-
rifyed, & that ſuddaynlye,or els ſomtimes alſoe

by degrees, ſothat ſomtimes ther enſueth ſuch

a Ganerena, or mortification, that not only the

fleſhe, &all the other mollifyed partes, of the
forelayed ioyne,doc mortify & corrupte, but

alſoe the Bones themſelves, ſoc that ther is noe
hopeatall,ofany health, then onlyethroughe

the extirpatione of the ſame, fearinge leaſt that

the forelayed Gangraena,l houlde farther infect

& pollute all the circumiacent partes, vvhere-
throughe the patient might ſuddaynlye chaſice

todyc. Nortvvithſtandinge the Chyrurgiane

may not in anye ſorteaproch ynto his exſtrea-

me, & laſt remedye, before he havetrycd all 0-

ther remedyes, to.ccaſe & appeaſe this forſayed
mortificatione, & to ſave the ioynQte: becauſe

; that ſuch an operatione, can not be done, then
_— throughe extreame daunger,as oftentimes the
any ioync patientes themſelves,doedyc vnder our hides,
teiseffec- hecauſe of the great efluxione of bloode, or els
n——_ ſome greate fayntnes. Others immediatly after
nger, the extirpatione fall intoa Phrenſye,in extrea-
me, & intollerable payne,in ps ſmo,ina coulde

ſvveat, vvheron preſcntlye, tolloyveth death,

| Chyrurgian, to extirpate the members in their

Fol.37.

VVherfore firſt of all vve ought to admoniſhe .
the frendes, & kinſfolke of the paticnr, & certi.
fye vnto them that this operatio is full of dai
ger, andisas yvell lamentable tor the Chyrur.
glancas for to patient:and that vve oughr nor
therofthe make anye greate matter of vyorth,
orcſtimation, ſcinge ther is no other hope, nor
anye other ſucceſle ro be expected, & that it (ec-
meth more convenient, and neccflarve, to cx-
tirpate the mortifyed ioyncte,and ſoc to avoy-
de & flyedeath, yvhich is more terrible, and fe-
arfull,then the loſle onlye of one ioyncte.

And before vve beginne this operatione, &
that vye muſt extirpate, the forclaved ioyncte,
itis neceſſary that firſt of al vve knovy, the pla-
ce vyherit muſt be done, becauſc of divers opi- pg...
nions vyhichare hadde therof : for tome arc of hovers
opinione, thatin the ioyne vve ought rodoe make
it, becauſe in this place it vyouldefall cafyer for —_—C
the Chyrurgiane to execute the ſame, & isalſoc vvher vve
more tollerable and caſyer for the patient, be- !Þoutde
becauſe ther it may be done vvith more feſtina- chin
tione, vvith a fimple inſcilion of a vvell reſcin- tc.
dentandcuttinge knifc,if onlyc the Chyrurgi-
ane beagile , andexperte , intindinge of the
joynde, -

Novy as touchinge thoſe yvhich ſuppoſe all
vvoiides of the ioynetes, to be more ſubjected, | _—
vntodeadly,and doloroule accidentes,the tho- vwhich
ie vyhich happEto be thre fingers above, or vn <xturpate
dertheſame , yet forall that they are noe leſſe $77 me,
dayngerouſe, becauſe of the Tendones,andal joyncte.
other ſunnuil h partes, vyvhich as then are alloc
cutt of , vyhich arc rounde more thicker there
then in the ioynes themſelves: V Vherfor yve
neede not to fearc, that ther vvill folloyve mo-
re payne, or convullione,althoughe the cxtir-
patione vyhich is done, three, or fourc fingers
belovye,or above the ſame, becaule the Tedo-
nes,and the ſynnuesareas vyellin thc on place
aSin the other xquallye cutt of, And vvhich
is more, if vye cxtirpatea membre inthe iovnc
te,the marrovve,of the pipeas tho is not denu-
dated, becauſe of the Fpiphyſis, vvhervvith iris
covered, and contayned : But contrarilye if vve
ſavve throughe the focille, or pipe, the marro-
vveasthE isdenudated , for the prz(crvatione
of vyhich Nature vvitagreate ditticultyc, mnt
havea longe time, to engEdre a Callum thervn-
to,and tocover it, becautc nature mult ſepara-
tethat end of the ſavved bone: And beſydes all
this,ther follovveth noc ſuperfluous cfluxion
of bloode,as Hippocrates in his boocke of Hemor-
rhoidibus,vvitnclcth vnto vs. Rds

Althoughe that all theſe forcſayed reaſons, fer thojs

are ſufficient cnoughe, to per{vvade the yonge Y* _
» ®. extirpare

themern«

| toynctes and Hippocrates, allſoc commaundeth bre above
| &councelleth the ſame, yer al Practitioners of 97 b<lovy

. R F r 1 ,
Chyrurgerye,doc heere in agree, & vnite their ,,

K Opini-

— — ”

_
wA «

* AS
”
-

— DO>——<——_————— OO —— — — —_—_—— m_ tl —_

The Frenche Chirurgerye

Boba Opinions together, that vve ought to extirpate
—nt rap the membre,three,or four fingers ynder,or a-
vvhichex bove the ioyncte,accordinge to thediſpolitive
urpare &requiringe of the mor tified ioyn: For firlt
= Lows ofall the opraticne is done vvith ſuch feſtina-
or belovy tion & ſo certayn, becauſe of the facility ther-
the ioync of, for vve may righte vvell knovve that the
_ vvhole infetede, & ſpoylede parte, molt com-
monlye ſyvelleth, & the finitimate partes allo
thervnto lyinge, that vvithout greate daunger

& difficultye, vve can not knovve the ioyncte

or the place therof in the vyhich vve ought ve-

ry vvarily to enſcide:Farther allſo the ioynctes

arc molt comonlye yerycdifticulte, cleane to

cutt them of, or extirpate them, becauſe of the

bones, vvhich are placed the one in the orher.
Touchinge therfore the certayntye therof
experience tcacheth vs, that an inconvenience

may as vvell come of the one; as of the other:

And ſuch vvoundes, arc noc leſſe mortalle,

then the vvoundes of the ioyn&cs.Secondlye,

ther much ſooner folloyveth a cicatrice, becau

ſe of the grea:e qvantitye of fleſ he, vyhervvith

the bone on all tydes is circumcinglede, & co-

vered & yyhich in that place is not of ſuch a
craſlitude, & ſpongiouſncs,as in the ioynce .

And althoughe the Cicatrice can not ſo ſoone

be effcede, the paticnt nevertheleſſe necdes
notabſtaync from going, & that yvithout pay-
ncallſo, layinge his knee ina ſtilte, vyhervvith

he ſhall as then abyde the time of his complet
lanatione:The vyhich he in that ſorte ſhoulde

not be able to doe, before that the cicatrice vvc

are vvholye curede, & obduratede, if ſo be his
lcggchadde binne extirpatede in theioynQe,

becauſe the vvhole body reſting theron, throu

ghe the confricatione,or rubbinge together of

Eereett the ſame might chaunce to breacke open agay-
— ne. Astouching my ſclfc, Ihave allvvayestou-
Author, de that the cicatrice hath cver binne very difti-
culte, yea & allmoſt impoſſible to be curede &
effetede inthe ioynCt, but imcdiatlye therafter

is opencde agayn, hovv little ſocver the bodye

reſtede therone. V Vherforcl allo am of the

Cn ſame minde,& opinione,vvith all other com-
mon Chyrurgianes thatas vvell contideringe

the teſtinatione, & facilityc of the operatione,

asallio the brevitye of the generatione of the
Cicatrice,that vve ought to doc our cxtirpation

or ſavyinge of, of anye racmbre, three, or foure

fingers breadth above, or vnder the ioynE, to

vvitt,of the Legge, if it be vnder the knee: For
allchoughec the Gangrena, or mortificatione of

the Legge, vvcarc onlye belovy in the foreſay-
ed Legge, & the middle of the Legge as yetillazt
vnhurt, & ſound, vvherfor it is all vvayes better

to make the ſtumpe { hort, then longe, becauſe

vvithe his length, it isaſlociated yvith a certay-
nedctormitye, & might cauſe greate impedi-

ment vato the paticntc, vvith thruitinge of the

lame, heeragaynſte this thinge, & ther agaynfte
ſomyvhartels. VVhich in the Arme is cont
becauſe ther itis better, that vve ſuffer inf *
keepeaslongea parte therof,, as is poſſible ro
be by any mcanes done,

It is right true, if ſo be the Gangrena, or morti- Exceptis.
ficatione of the Legge, doc end inthe ioynRor,
cloſe thervnto, & noe higherthen tothe begin -
ninge of the hippe vve muſtthen allvvayes ra-
ther doc the extirpatione in the ioynQe, then |
above the ſame, & eſpeciallye in the hippe: Be--
cauſe the accidentes might allyvayes be vvorſe,
conſ{ideringe thegreate Vaynes, Arteryes, &
Synnues, vyyhich by hovy much the more yve
plucke,& dravve them vpvvardes,ſo much the
greater vyefinde them: And then the cicatrized yygy,,
parte,ſ houlde be conſtraynedeto reſte on the
artificiall,fayncd legge,as if vye cxtirpatede the
ſamcin the ioyne:Be it therforgyyvhat place
you vyillchuſe, vve muſt note, that allvvayes
vverather rake avvay ſome of the ſovyynde par-
teallſo,then leave anye of the corruptede , or
mortificde parte behinde. Becauſe that ſuch a
parte of mortificatione, might allſo corrupte, &
mortify,the finitimate ſoyvnde part, ſo that the
paticnt, ſhould have ſuffered all the dayvnger, &
payne in vayne,& for nought , & to continue
his lyfe, vveſhoulde be conſtrayned tro make an
other cxtirpatione.

Ho'Wv Wwe ought to doe the extirpatione , or ſaWinge
of ,of a ioyntte and hoy we may flopp the bloode, ,
after We ſhall have layed doVone the
Patient.Chap.s.

24 Avingenotedthe place, vyhere

g vvcintende todoe the extirpati-

K one,vve muſte ſituat the patient

IF asit is reqvirede, not onlye con- _

I {ideringe the nature, diſpoſition '

& quvallirye ofthe parte , vvhich

vve intendetoextirpate ,butallſo onethe Chy- 5...
rurgiane his comodity, that the patient ſitt not of che pa«
agaynit the day, & ligt of the Chyrurgian,not to tient im
highe,nor toloyve,nor on a place vyher he mig- —_—
ht ſlippeasit oftentimes hath chaunced, the pati- a loyntte
ent littinge to farre in the bedde. Some are of

minde that yye ought to ſett the paticnt on a

ſtoole becauſe he may ſitt the faſter, & conveni-

center: Others effe this operation, the patiEt ſit-

tinge on the edge of a bedde, fearing leaft he ſho-

uld grovy faynt,or ſyncopize, & might the vvith

more caſe be gottE into his bedde &reſtig place

the extirpatione beingedone.. But my vicis, to

cauſe the patiEtto ſittina reſonable lovve chay-

re, becauſe all beddes are not of one hight, nether

are ſoc readye,and fitt for our purpoles nether ſo

vvell tovyardes the day , vyheras vyc may ſet the
chayre

» A: =» Oe + we

-
I
I
c
t
\
}
{
<

of laquves Givillemeau.

chayre vyheare vye our ſelves liſte: farther the
patient is more ſurer in ſucha place, & may al-
ſoe better, & vvith more convenience be held,
and betrertovyardes the Chyrurgians hande,
as vvell ro cutt throughe the flet he, as to ſa-
vve ofthe bone and re(traygne the bloode: the
ſervantesallſoc{ hall have more better opor-
tvnity ro houlde the patient faſt & in more 1a-
ferye.

—_— Therforeto effet and finiſhe this opera-
% Inve- tione,|the Chyrurgyne muſt ſtande betyveene
nientlye the legges of the patient, and muſt cauſe a ſer-
—_— vant, or ſtider bye as much as is poſſible vvith
alojnt. oth his handes to tri ppe vptheſkinne & the
muſcles vyhichare ſituatcdabove the cxtirpa-
none,after he ſhall have cauſed the patient ro
bende the joyne, & thatas vvell forthe lon-
gatione of the ſkinne , as lengtheninge of the
Vaynes, and Arteryecs, vvhich after the extirpa-
tion of the Ioyncte, the ligature being taken a-
vvay , vvill more caſycras then demonſtrate
them ſelves, & be more caſyer taken houlde of
VVithe the Crovvesblil,and they tyen or caute-
rized: Then vve muſt immediatly one the pla-
ce,vyher vve intend to make our extirpation,
lay a ſtronge ligatvre of ſtronge linnen, the fa-
me being reaſonable cloſelyedrayyne together
and that becauſe of divers occaſions: Firſt of all
becauſe the Ioyn& may be prxſcted the ſtedyer
and faſtertothe Operator,and becauſe the fleſ-
he ſhould the better beare,and receave the inl-
cione of the croocked, or curved knite:Second-
lye , becauſe the ſenſibilitye of the foreſayed
loynR, in the ſciſſure , mighr partlye be ther-
through benummed,and ſomvvhat mitigated:
Thirdlye, becauſe after the inſcilion, in ſovvin-
ge of the bone , the bloode might be foe longe
throughe the foreſayed ligature reſtraygned, &

kept backe.
Farther more, by this meanes vve keepe the
ſkinn & muſcles on highe, vvhich after the 0-
peratis, the ligature beinge diſlolved , & made
looſe, ſinck agayne doyvnvyardes , andcover
the ſayved bone , by vvhich meanes the Cica-
trice the ſooner grovveth therover,and ſerveth
the forcſayed bone therafter , in ſteede ofa

Cuſhone,
Ther may All vvhich beinge finiſhed ,. vve muſtthen
not be a- yvithacroocked knife, vvhich is very \ harp,cut
noun through the fleſhecloſe vnto the ligature rofi-
bone dc abovvrte,vnto the bare bone, vvithont leavig
vvhe yve any thing: bervvet the bones yncutt,if ther be
—_— tvvo, ſcrapinge of vvith the backe of the knife
the membrane Perioſtium,vvhervvith the bone
is covered, becauſe vve doc not chaunce to tea-
re the ſame, vvith the tecth of the ſavve, vvhich
yvoulde cauſe an intollerable payne vntothe
paticnt, &alſoin ſerratinge, or ſavvinge might
be ſome hinderance:In like forte alſo vve muſt
remove the fleſhe as much out of the yyay as

— O_— —— —_— —

— —————

A CT OO O——_

— —

bs |
Fol.3S.
is poſſible, & then vvitha vvel! cuttinoe favve,

lavve ofthe vvhole legge as clotc tothe Nelhe

as may be,dilligentlyc notinge , that vvith rhe

teeth of the ſavve vvedoe not in any tort touciy

the foreſayed flethe.

Thelegge novv beinge cxtirpa:cd, vve muſt Th.
thediflolve & make loole the ligamets, vv hich loyn&t
vveare tyed above the yvound, & i{trippe dovy- Me.
nevvardes the {kinne,and the muſcles, becaule rc4,vyc
the bone ofal ſydes may be yvel covred: vvhich mult the
beingedone,if foe be there be bur lite bloode [35 io
iſſued therout, vve muſt notthen (clpeciallye guure,
vvhere there isa Gaxerena,) lo toon reltraygne |
the ſame, buras yet let italittle more blecde, &
thataslonge, as you ſuppole it may vvithour a-
nyc davnger to the Patiet be done, becaule that
parte there thronghe might the better caic her
ſelfe, and bedit burthcened, and foc much the
leſſe be ſubic@ vntoanycinflamationcs,

Thebloode havinge indittcrenilve and rea- tInferna;
ſonably iſſued therout according io the {tregth on hovy
ofthe Paticnt, vve miuſt as then itoppe, and re- _
ſtraygneit, vvhich vve muſt doc throughe the v4 he.
impoſition of the fingers one the mouthes , or ther tt
apertios of the Vaynes, vvhich vve muſt cther Gon
bind or els cauteriſe the one or the other accor ©; |. *
ding as the ſfamac { halbe necdtull,and requilite, bleewe,
it beether through binding, or caurc:tizinge,as
the auncient Chyrurgians of former times ha-
vedone, & vvc have cominted it to the memo-
ry, of thoſe of our times.

corrupted,and mortified, vvhich muſt be extir- *
parted, after vvhich extirpatione, the fluxton of tcry<s.
blogde, mutt be farre more {topped, throughe
the applicatione of glovvinge cauteryes,on the
apperti0,or mouthes ofthe vaynes, the throu-
ghethe ligation, or binding of the tame, becau-
ſetheglovvinge cauterves, make one he tore
ſfayed Orificia of the vaynes an F{carr , vvher-
through the forctaved 0rifc4 ofthe vaynes aic
occludedand the bloode ftenched, becaulc it ci
noc more iſſue out , by vvhich mcanes it dra-
vveth vntoitſclte, & allo contumeth al the ve-
noumouſe cvaporations, & dampes, and brin-
geth the to nought, vyhichas yet throughethe
torclayed vaynes, have bine retayned in the tu
perſituated partes, although,it ſcmeth not that
the forcfayed paric is in any forte corrupted, or
putrifycd, then onlye { oacked throughe vvith
ſome certaync venoumoulenes,vihertroughe
ſometimes that parte hath binne prepared as it
vveare to ſome mortificatione,or Gangrenatt-
one: that vve ſuppoling to take houlde one the

vaynes vvith the Crovvesbill, and (oc to bind
them,doe moſt commonive chaunceto breake
| betyveene the Crovvesbill , or els hovy gent-
| lelye ſoever vve knit the threde together, one
that ſorte to tyc them, are throughe the tying®
of the threde notyvithaſtndinge cutt a tunder:

K 1} YYRGL-

Forasin example, ifther be anye member Virtves 9f

_ —O— 4

The Frenche Chirurgerye

vyherthronghe vvearcin theendconſtrayned
tro vie the actuall Cauterye.

And not vvithout occalione, jGalenus teſtify-
eth vnto vs, to be a thinge veryc expediente, &
neceſſarye,to ſtench,and reſtraygne the bloode
throughe actualle Cauteryes, vvhich throughe
anvecorruptione, hath corroded throughe| the
yaynes, becauſe they, nctherareable ro ſuffer
the Crovvesbill, therby to be dravyne out, ne-
ther the tyinge, & bindinge . Itisalſothe moſt
ſureſt vyay,to cauterizeall that, vyvhichthrou-
ghethe Gargrenais corrupted, orels, that vve
applyethcron any Cauſticke medicamentes,as
vvearevicd rodoec one the originalle of al cor-
ruptions.

V Vherforc if ſo ſoc be the Chyrurgian ha-
veanvyeſulpicione, ofanye venoumouſenes,
vvyhichafter the cxtirpation, might be dravven
invyardestovvyardes the finitimate partes ther-
aboute, ir isas then the ſureſt remedye, that to
the reſtraygninge,and itenchinge of the blood,
he have in praparatione, artd readines, three, or
fovr fervent, & glovvinge caureryes, vyhich he
Hovy mult applye on the 07r1f1ca of the deſcided vay-
throughe nes, vvithour houlding, ordepreſling the ſame
cautcrila- to harde theron, becaule thus doinge ther may
T6014 beleftbchindea goode Fſeara: And ifit chaun-
reſtrayg- ced that the bloode throughe the applicatione
way ©- of one cautery yyeare ſtenched, it is then ſuffi-
le, Cientlycauterized, nether muſt yveanye more

canterize the ſame Vayne, proſccutinge of the
_ ſame,on the other vaynes.
— Contrarilye, vve bcinge conſtrayned to ex-
reſtrayg- tirpateanye membre, beinge verye much plet-
ne bloode rercd, and broken, & vvhich throughe noeGan-
Do © gren4,,0r corruptionc is putrificd, itisasthen
* moſtconveniet, toreſtraygnethe blood, throu-
ghe takinge hould of the Vaynes, or Arteryes,
vvith the Crovvesbill,comprzhendingeallſoe
ſome parte of flcſhe thervyvith, vvhich vvitha
good & ſtronge threede vve mult bindetoge-
ther,as allſocthe flef he, vvhich vvith thethre-
de is tycd,is an occalione,that the ligature muſt
be the more certayner,and ſurer.

And asGalen findeth it goode,to ſtenchthe
bloode,throughe aQtuall cauteryes, vvherby is
anye corruprione,or putrefattione,in like ſor-
tcalſoc he commendeth the ligature inthe et-
fluxione of bloode, vyherby is noe corruptio-
ne, or anye venoumouſnes. V Vhichright

Galcnus.

Accorde yyel may be an agreemet bervvixt to great per- |

thenhe ſonages of our time, vvher of the on is g Phyli-

vvor( hip- cione,and the other a Chyrurgianc, becauſe of

Full M* acertayne diſpute, vyhich they had, concernin-

Re ge this matter, of the meanes, vyhich vive ought

Pace. tovle, inthe reſtraygninge of bloode, asthey
have agitated moſt inmiciliouſly this diſputa-
rione the one agaynſt the other vvithout the 0-
nc, vnderſtandinge the other.

The bloode therforc throughe the fore-

ſayed mieanes beinge ſtenched, & reſtraygned,
vve muſt as then ſtrovve ſome reſtringet poul-
der one that parte , andapplye therone divers
drye plumaciolles,or flatttentes , and thcrone
an ordinaryc reſtringent, ordefcnliive plaſter,
layinge royynde aboutthe ſtumpe, a plaſter of
Refrigerans Galeni, becaulic that the forcelayed de-
tenſive, {houlde not chaunce to cleave too faſt
therone, and (oe binde the parte , asit requi-
reth , and then curinge the ſame as a ſimple
vvounde , allyvayes dilligentlye conſideringe
that yve doe not take avvay the Eſcara, vvhich
throughe the forclayed Cauteryes is made, ne-
ther the threedes allſoc vyher vvith the Vaynes
have binnetycd, if ſoc bear leaſt ther be anye.

It happeneth allſoe ſometimes , that the
Vaynes after that they have binne cutz of doe Ofthe
dravye themſelves inyvardes, ſoc that vvith the —
Crovvesbill in noe ſorte vve can take houlde bloode is
therone: It mightallſocchaunce, that the tycd ſtopped:
Vayne, might chaunce to vntye, vvherthrough
the paticnte is charged yvitha nevvecffiuxion,
of bloode,

If ſoc beanye of theſe accidentes chaunced,
and come ynto your handes,and it ſeemed beſt
vnto you,to Cauterizethe Vayne, then to bin-
de her,orcls ratherto binde, then to Cauteri-
ze her,and ſucha miſchaunce,or accident hap-
pened into your handes vnexpected , and not
beinge therone provided, vvithourt havinge a-
nycCauteryes in are adines, the right yyorſhip-
full M*Pare councclleth vs very fitlyc to ſtench
the bloode. The vvhichifin tyvo or threor
four Vaynes it chaunced,or Arteryes,at one ti-
methen muſt the ſervant , or one of the cir-
cumſtantes, lay the endes of his fingers, one c-
ach vayne one, gentlelyecruſhinge the ſame,
one the 0rifcza of the Vaynes, becauſe as Galen
ſayeth the Chyrurgiane may have time,to re-
ſtraygnethe bloode : And then take a needle
ofa fingers length , orlonger, and ofa reaſo-
nable craſſitude, vvhich is very { harpe, and reſ(-
cindent , as heerc before is defigured vnto vs,
beinge threded vvitha ſtronge threde , vvher-
vvith the vayneafter this ſortfollovvinge muſt
betycd.

Havinge firſt of al conſidered, vyhere the
bleeding Vayneis ſituated, you muſt thEthruſt 14,1, yye
your needle therthroughe, beginninge on the ſhould |
ſkinne agood fingers bredth higher then the doethis li
vvounde, onetheſyde ofthe Vaync, makinge Fen.”
the ſame to come contradictorilyc out of the the blood
vvoiide,to vvitt one the ſyde,& alſoc ſomvvhat
lovver then the 0rificiumof the Vayne, becauſe
the threde may be thervnder, ther tocircumcin
glethe ſame, ſufteringe the end of the threde to
hange one the ( kinne, vvithour extrattinge,or
vvholycdravvinge out of the ſame : Then you

| muſt agayne, thruſtthe ſame needle inter nal-

lycia the vvounde , onethe other ſyde of the
vaynce,

A
n
ce

of1 aqves Gvillemeau.

vayne, becauſe in ſoc doinge, the threde, vvhich
vvith both his cndes is come forth exte- nallye
on the ſkinne may take houlde on the fore-
ſayed vayne, vvith ſome certayne portione of
fleſ he, & ſoc through both the ſtitches of the
needle, & paſſages of the threde, may ſtifflye be
bovyynde together, throughe both the endes
of the forclayede threde,layinge betyycen the
thredes a little compreſle of lether, tyvice , or
thrice dubbled, as thickasa little finger, becaus
ther through the payne might be praventede,
vvhich through the foreſayed ſtiffe bindinge,
might be cauled, & becauſe the knott, through
the continuance of time ſhould not cutthrou-
ghe theſkinne.

V Vhen as this ligature is convenictlyc done,

n<ligatu» ſheeas then is verye certayne, vvhichallſo may

be donc in all partes of the bodye, vvher ther is
anyctluxione of bloode,as in greate vvoundes
of the Armes,of the Hippes, or of the Throte.
Heere betore amongite my Inſtrumenres of
Chyrurgerie, you {hall finde them defigurede
vnto you.

HoW We ſhoulde extirpate,the ſuperfiuous, & corrup.
teae fingers, ſeparate thoſe Which are
gro Wen, cs conioynede together
Chap. 6.
He hande, vvhich is an inſtru-
> mente,of inſtrumentes,is divi-

2 finger,ther grovvetha ſixte fin-
ger, vvhich isall carnall,or fleſhye,orels com-
poſede of ſome ſmalle bones: Yet is nether the
one nor the other compler, vvhether ye conſi-
derether thcirfigure, or their magnitud, & gre-
atnes,as beinge agaynſt the courſe of nature,
vvherthroughe theyare an impediment to the
ationes of the hand. It may allſo vvell chaiice,
the one finger of the hande to be pletterede,
vvithout beingeable to keepe the ſame from
Gangrznatione. Beſydes this ther commethe
in the endes of the fingers, ſomtimesa certayn
viccratione, vvhich is callede Panaris,or Paroni-
chia:The vvhich cauſe ſuch vehemente payne,
throughe the venoumouſe matter, that ther-
throughe the bone corrupteth, & rotteth, yea
& the inflammatione allſo beginneth moſte

it of itſelfe reſtraygneth & ſtoppeth,the thruit
the finger in good A4qratite, vvhorin ve mull
before diſſolve a little Treackle : And if to be
notvyvithſtandige all theſe remedyes the tinger
as yet Corrupted farthcr,and mutt be ex: irpated,
vve may the verye aptlye cffecte the famevvith
our re{cindent,or cutting piniers, vvhervvith,
vvithout great payne, vve may vvith, one nipe
clippeit of. Ther are other, vvhich lay the tin-
gerona little blocke of vyoode, & as the vyith
a raſor hevv it of. On this manner allo vve may

. m % . - Fil 45%
cxtirpate the ſuperfluoute finger yi herin ther ,;_...

iSanyc bone.

And loc farre forth as if the fingers, vveare
from the nativityc,and birth, or through com-
buſtione, or cls throughe anye viceratione, he-
aledand joyned together, vve muitthen vvith
araſor, ſeparate them the one from the other,
and accordinge to the lengthther of cutt them
atunder, and then yvithan exticcating platter,
being ſeparated cure th, and {oct kinnethem,
by vvhich meancs cvery tinger vvill {eparatlyc
heale. If ſoc be thac there came anve vicceration
1athe tinger, aftcr the vvhich there tollovveth
a deformed Cicairice, vyherthroughe the tin
ger , grovveth croocked : V Ve mull then trye
theron ſome mollitying remedyes,'o cauicthe
finger thervvith to rectifye, & grovve ſtraight:

Andaif ſoc be by noc meanes i: vvilbe for, as —
it ſometimes chaunceth , vyhen the forclayed
Cicatrice isgreat,and inveterated , & cther the
ſinnues, tendones or ſkinne have binne hurt,

' vve mult nor therfore proceede vvith the lame

asathinge vyhich is incurablc, for it ſoc be vvc
cutt,cther the one or the other, the finger ther-
after hould nether be able to bende, nor ſtret-
ch out, yet is it neceflary that the bendinge, pro-
ccede before the ſtretchinge our, and the ftret-
ching out,or rectifying of the fame, betore the
recurvatione, ſoc thathefhouldeallvvayes be
right, and veryc inconvenicnt,as beinge better
that he be reaſonable croocked, then right, be-
cauſc of the inconvenicnce, vvhich ther throu-
ghe vve reccave: For vve ſuppolinge rol hut, &
cloſe the hande,and to faſten on any thing, rhis
fingeras then \(hould ſtand right out:But vvhg
itis onlyethe {kinne vyhich maketh the Cica-
trice , throughe the yvhich the finger is recur-
ved, vve muitthen cleance curtt of the ſame tor
as it beinge harde, & callouſe, can not be throu-

Fol.39.

commonlycin the bone;The vvhich to reme-
dye, before thatthe bone be corruptede , vve
muſte make an inſciſion in the end of the fin-
geraccording to the length therof, begining at
the exrreameſte end of the ioyncte, vnto the

ghe the finger erced, and ſtretched forth. Ha- © yraing
vinge thertor novv rectified this finger, by this otacrovc
meanes, vve as the make a nve Cicatrice ther- = nd

one, & muſt note that in the generation of the *
forelayed Cicatrice,the finger doc not chaunce

bare bone, becauſe the venoumoule matter, || to beagayn recurved, or f hrincke yp agayne:to 5 _
4 a an R ale
yyhich lycth incloſede betyvenethe}bone, and ||} the przvetig of the vvhich, I knovve noc better j;;,,,....

the pellicle, vvhich covercth the ſame, mighte
have ſome or otheriſlve. The inſcilione beig
donc,vve muſte lufter itro blecde as longe, till

meanes, after he be cured, thatther one vve vve- or of (ii-
are a finger caſc, of lattinne,or of {ilvcr,one the Y-
plaſter, & one the combuſtion. This tingercalc

mult

The FrencheChirurgerye

muſt be covered vvith Taffatye, or vvithanye |
other decent ſubſtance, & conveniently, vvith

a bande ,faſtened above on the hande, vyhich
fingcrcaſe ſhall doc more commodirye, & hel-
pe,thEall the (plintes vyhich vve might applye
theron.
The thi- Ther happencth alſoc adiſſcaſc, cleane con-
oe wr © traryc, vntoall other diſlceaſcs of the fingers, e-
beinge fpeciallyein the thumbe, having reccaved the-
vv holely ronca bloyve on the ſcndones , vyherby the
ſame is creed, & agayne the foreſayed Tendo-
nes beinge cutt of,can in noe ſort beagayne e-
levatcd, nether {tretched forth, vvherthroughe

| helyeth in the hande immoveable,and can not

be ſtirred. The ſamechauncethalſoe 1n the
hande, havinge receavedanye vvounde in the
hande one the Tendones , oralſoe above the
hande, vvhere throughe the hande hangethe &
fallethdovynevvardes, as is { he vvcare parali-
| ticke,and of her ſelfe is notable to be lifred vp.

As touchig therfore the thumbe, & the fingers:
vve muſtether have athumbcaſe , ora finger
caſe vyherthroughe they muſt be heaved vp:
And tor the hande,a glove, vvherthroughe the
hand may be helde vp. V Vhichin the boocke

| of M*Parc,arediſcribed.

THE EIGHT TRE

ATISE OF THE OPERATE
one of Chyrurgerye , wherin is diſcourſede and handelede of

the Cauteryes,and of the Setonne Contayninge five Chapiters.

VVhata Cauteryc is, the Species, and differences therof.

Chap.1+

Ofthe inventione & vicofthe Cauteryes,& in vyhatdiſlcaſes,and one yvhat places yve may ap*

plye them.

Of the Porentialle Cauteryes, and hovy yve {hould make them,
On vvhat manner vve ought ro applye the Potentialle Cauteryes.

Of the Seton, & hovy yve ought toapplycir.

22 Whaz a Canterye is, of the Kindes , & differen-
ces therof. Chap.1.

Avinge vvith my ſelfe reſolved
P & purpoſcd, to vvrite ſ6yvhatr,
F of the Cauteryes,it is firſt expe-
Y dicnt and neccſlarye that vvec
2 knovve, vyhata Cauteryeis, &

/CEFRZR hovve manye kindes, and Spe-
cies therbe therof: vyhat theire vic.is,on vyhat

bodyes,on vyhat diſſeaſcs vve ought toapplye ||

them, and the manner hovve vvel hallapplyc
Thena- Tthelame. Thertore to vnderſtande theire na
meofa ture, vve muſt firſt knovve , vyhatvve by the
Cauterye nameCanterium vnderitande: For it may be vn-
_— dcrſtoode one tyvo ſortes or vvayes, Simplely,
ſtoode in and not Simplelye:Symplely,conlideringe the
wyo for- inftrument, & the Cauſticke matter, vvhich a-
_ dureth in anye parte , as Galen, in his lixt of the
ſimples in his 2 Chap.deſcribeth: Not becaulſc
of the ligne vvhich remayneth 1n the Cauteri-
zed parte, that is becauſc of the lirtle Viceratio-
ne, vvhich remayneth, therin , vvhen as the Eſ-
cara isfallen therout: Soc that this vvorde Camre-
71m,in properlye being vnderitoode, can noe
othervvite be vnderſtoode, then a lirtle Vicera-
tione, inanyc cxternall parte of the bodye,
vvhich throughe the art of the Chyrurgiane,is
made thcrin,throughe ſome comburcnt, & ad-

| | uſtive medicamentes, to give iſlve, & paſſage to

ſome certayne matter,of ſome diſlealc.

or Vicerationes,arc as it yvearedrayvne, from wm "J8

| & beinge of theſe Cauteryes,coliſteth in theire
| forme, & figure, vvherfor ſome ther are vvhich

be royvynde, ſome contradictorye, others right,
' great, ſmalle,deepe,or not deed: All the vvhich

have but one onlye aperti6, or ſometimesalſo
, twvo,& is thEcalleda transforatione, or Seton:

Andallo of all other places, vvheron they may
| be poſliblelyeapplyed,as on the Heade, inthe
; Necke, Armes, Legges,& finally in all partes of
the bodye , vyherone they might be applyed,
vvhe onlye the agilitye, or aCtione of the parte
can not ther through be hindered, or hurtc : Of
their ctfticiEtcauſc, vyhich is take out of the di-
verlitye of the matter, vvhich is applycd one a-
nyc parte of the bodye, or ingendred in the ſa-
me. The matter vvhich continuallye isapplyed

Aqtuall

tiallye, vyherfore they are called atuall, or po-
tentialle Cauteryes: That vyhich in our body is

Ingendred,can come through, any 1 harpe,cor-
' rodent, or bitinge humors, vyherthroughe the

| {kinne is coxroded, bitten throughe, & cxulce-

rated, of yyhich viceratione, may be effeted &
made

V Vhertor the difterEces,of theſeCauteryes, ung

; their place, & being, vvheron they are applyed, terves not

| &allo from theire efficient cauſe. The cllence, Properiye

on the bodye, attuallyc comburcth , or poten- Cauterye

/
Oo
©
ke
d
v
el
t:
Me
Y
Y
ſt
b
A
_
Ci
A
A
A
G

Sa =» oc oa 4a:

of laqves Givillemeau. Fol.109.

madea Cautery, orfontanelle, yvhich may be
called attuall Caurerye.
Differen= Heere of yve may coniefure and ſuppoſe,
ces ofth2 thatthe Cauteryes, & fontanelles, vveare in-
fon yeuted , follovving nature therin, ther throu-
taken” ghetogive paſlage,to that vyhich is contrary,
& oppolite vnto her, & vyherotf ſhe is pertur-
baited, & moleſted,irt be cther in quallity, or in
quvantitye,as heerafter vve vvill farther ſpeake
of. And as touchig the Cauteryes, vvhich vve
call inſtrumentes, their principalle, & eſpeci-
all difference, is taken, of theire ſubſtance, tor-
me, & figure, & of theire tarditye & ſlovvnes,
orfeſtinatione, ofaduſtion, of theire depth, &
{ hallovvnes, & of the manner of theire appli-
catione:touchingtheire matter, or ſubſtance,
becauſe they actually, & in deede doe combu-
re, & burne, or potenciallye, they are thertore
called atuall,or potencialle Cauteryes.
The fab. The forme of thoſe vyhich aftuallye burne
—_ - isalmoſt innumerable, vyhich are made hotr,
—_— « &glovvinge. Theanrique &auncient Chy-
rurgians, have commonlye made theire Cau-
reryes of mettles,as of gould,of fiver, of Iron,
& of copper. Archigenes hath cauteriſed the la-
chrimall fiſtles vvith liquefaQed leade, vvhich
through a little pipe he dropped therin. They
yvcarc of opinion, that the cauteryes of gould
Subſtice cauſed lefle payne, & yvearc farre more caſyer
of thecau to be ſuffercd, that alſoe the Cauterized place,

Archige-
nes.

vetich Chouldc notavoyde ſoc much matter, and the
theaun- adulſtis is not ſoc daungerouſe, becaute gould

ciencChy amongeſtall other mett les is the moſte tem-
perate, vvherforc it burneth not ſo violently,
as Iron, becaulc itis not ſoc c6denfated of ſub
ſtance: vvherfore in like ſortealſoe theCaute-
ryes vvhichare made of Copper, doc not ſoc
cloſcly burne,or cauterize, asthoſe vvhich a-
re made of Iron, becauſe the copper, is not ſo
ſolide of matter, vyherfore vve deſiring ſtr6-
gclyc, & violentlye to cauterize vve muſt take
A kinds ſuch cauteryes, vvhich are made of the conde-
of ſpoagi ſeſt, & moſt firmeſt matter, & ſubſtance.Som-
ouſe mat- times havealſothe aunciCte profeſſors asHip-
ter full of pocrates,, recited, to have cautcrized, vvith ten-
_ ow res, vyhich they dippedin cbullicnr, & teerthi-
the mod- gc Oyle , or vvithdryc incended puffes as vve
taynes call them or vvith the root Ari/ſolochie, being
— madefyed in ſcething oyle, or vvith the rootes
victo Of grrutinm,as Celius_Aurelianus, Dioſcorides,and

ſtench
bloode.

nus,Diof- he applycd theron vvith vvolle beinge therin
— madefyed. Albacaſis in like forte, hath cauteri-
Ztivs. zed the hollovy», and concavoule teeth vvith
Albucaſts ſcethinge butter.Gnido hath cauteriſed the bo-
Guido. nes, vvith liquefated Brimſtone , to vvitt of

the Caries. Soethat out ofall theſe vyc may

ſutficicntlye ynderitznde, that vye may make

Attilus, vyhich have cauterized vvith incended |
Goates dunge . is hath cauteriſed the cor- |
Aurzlia- rupted gummes, vvithebullicnt oyle, vvhich |

- > — ——— CC

el ll en C——ns -

y—————_—n nc On

as manye (ortes of cauterves, 45 there are tv.
{tances, vyhich may be incendced, WE

The foretayed cauterves, & clpeciallie tho- i __
ſe, vvhich arc made, & compolcd of any met- ————
tle,arcalſodifferinge in their figures the one cocormin-
from the other : Foreveryecauterye mult be © ©<'"
proportioned, accordinge to the diflcatc , and he
that vvheron vve vvill apply the ſame: lo that
ſome are like heades of great nayles, & trian-
gled, others rovvnde, like vnto a butts, others
cutting, ſome notdiſlike vntoa halfe moone,
and others circleyyyle : As vve may bchoul-
de, and ce, thecircles of Mibnca/is , other in
forme of a raperſ blade , as Ce!ſ«;diſcribeth,
ther yvith ro cautcrize the fiſſures inthe lip-
pes.

They arealtoc differinge the one from the
other in theiredepthe,or! hallovync<:tfor vic
neede ſomrimes to cauterize the { kinn only,
as Hippocrates vvilleth vs todoe, in the paynes
of the ſhoulders : V Ve muſt alſoe ſometimes
caurerize the flet he,as in the S$czatzea:Some ti- 008
mesal{otothe bone, and crul he the fame rea- e5 to cau-
ſonablecloſe thervntoas vve mult doc, vvhen £112:
as vve muſt cauteriſe above on the heade, vve © PI
muit ſometimes cauterize,into the concavity
of the bodye, as vvhen vve muſt cauteriſein-
tothe breit,ro let ther out any matter, & ſom -
times vvedoe but only (corche or linge abo-
ve one the place.

And becauſe that amongeſt the cauteryes, V-icr-n-
(conſidering the matter vyherof they are com 20s
poſed) ther be ſome vyhich are quicly heated raken our
and ſome vvhich.continuc longer hott, then ®f cncire
others even ſoc therare ſome , vvhich conti- ©
deringethcire poderouſnes,or levityc, tardi-
tyc,or feltinatio,cther in violence, or payn of
theire operation , arcdifferingethe one from
the other.

The Cauteryes arc alfoc differing, in theire Diferen-
numbre, for at ſomtimes vve applye bur one, c*1n
ſomtimestvvo,thre,four, yea alloe fiſtecn ar 239
one timec,as Xs comandeth vs,to the curing
of the vicerations of the Breſt.

They difter alſoc in theire manner of 2ppl:- ys
catione, for ſome arc applycdalone,others in ,;x.... ...
little pipes, vvhich at one cadec are aperie,and of we
op&, orhave any appertios , or vvindoyy es 1n GO Gags
the tydestherof. plycation
Of the Imvention,and of the uſe of the Canteryes,and

to What diſſe ſes, and one hat places , they

muſt be applzed. Chap. 2.

T may rightvvell be ſayed that The inv?
, 8 bla
nature hath ( hevved vnto vs, ©» of te
; . Caurerycs
the inventione ,of the Caute- ;; 5...
rycs, & foranellcs : For as {Oti- (trated vn
mes the partes being overlade _
vvith to manyc humorsether ,... >

by there

_—— Wy =O Gs

The Frenche Chirurgerye

theire tarrnes,or venoumouſnesare troubled,
they in the end, diſcharge, & vnburthen them-
ſelves, in ſome parte of the body,of that vyhich
moleſteth the, as in one of the Armes, or leg-
ges,cauſinge ther to ther ſolace, andeaſe, ſome
excoriatione,or apertione. So that the Phyſiti-
ones, & Chyrurgianes, to helpe heerin the na-

—

nes of the ſame, and conſume it,and cauſe the
corrupted bones to ſeparate from the ſovynde.

VVe may applye the on all partes of our bo-
dyc, andeſpeciallyc,beinge needfulle, tro make
anye apertione, to give iſſucand paſſage, to a-
ny matter,or vapoure, vvhich therine is aſlem-
bied,

Ther are ſome vvhich have applyed the cau- Invyhar
teryes one the ypper part of the head, about the Pa7*cs the
ſagittal ſuture, vvher ſhe ioyneth her feif vvith quit v4y
the Coronaile ſuture: V Vhich vvith great and applyed.
good ſucceſle I have ſet to be done of M* Pare, ,_
agaynſt the Hemicramann, or payn of the one ſy- MPace.

rure, have there throughe foyvnde out the vic
of the Cauteryes, & Fontanclles, eftetinge by
thcirarte, that vyhich nature oftentimes, thro-
ughc her ovvnc commotione thervnto ende-
voreth todoe, vvherfore vvealſoe vic the Cau-

Albucaſis Of the Breſte,a

teryes,as oftentimes as vvedelire ro makeany
derivatione, revulſionc,interceptione, Or eva-
cuatione,of anye matter, the vyhichether con-
ſideringe her qvantitye, or quallitye, orvvith
both of them together, might in anye ſorte be
occaſione of any harme. VVeallſoe vic them,
not oalye vvhen as vve deſire, totranſpire,and
cauſe to eyaporate any venoumoule vapours,
butalſo,vvhen vve vvould cauſe anye concur-
rear matter to exliccate, & conſume, endeyo-
ringe todravve the ſame from vvithine exter-
nally, as yvell through the extraftione, yvhich
it heer maketh,as through the viceratis, vvhich
therafter remayncth,as throughecertayn little
open fiſtles,or ſmall raninge iſſues yvhervvith
vvedravy the matter from fnyvardes, outvvar-
des,ther to evacuate the ſame, and cauſc todi-
greſſe from the one place tothe other.
Cauteryes are profitable ſayeth Galen, & Hip-
pocrates, in all corroſive, & ambulative vicera-
tiones, agaynſt fluxions of the eyes, inthe tu-
mor &gylops,vvhen as the forcarme, isſuncke
and diſcended ynder the Armepittes : Inthe
Scratica, & payne of the hippes, for they retratte
& dravve backe the humors, vvhich trouble &
in that place hinder thoſ2 partes: In the Gangre-
na:in the extirpatione of the mEbres,to ſtench,
& ſtoppe the bloode, & ſoc forth in all fluxions
of blood, & in all other internal diſſeaſes vvhat
ſocver,asin ain (umprione,in vicerations

in the Dropſye. Abucaſisavou-
cheth the Cauteryes generallye, to be profita-
ble,in all diſlcaſes, and ſickneſles, vvhich take
their originall, of any matter,or vvithout mat-
ter. They are alſo profitable,and commodiou-
ſc,for all bitinges, & ſtinginges of anye venou-
mouſe creature, in the Carþunclesand Venus
botches, becauſ through theire hear, they con-
ſume the venoumouſnes of the humors, & an-
nilgJlatethem and out of the depthdravye the

de of the heade,and agaynſt manye other ſortes
of inveterated paynes of the heade, becauſe that
through ſuchan apcatione, manye anddivers
humours, & vapours, vyhich arc congregated
in the heade, by this meancs are exhalated:allſo
agaynſt the fallinge ſicknes, to give tranſpirati-

one to ſome venoumoule humor, & vapoure,

vvhichare often times the occaſion of this diſ-

ſcaſe : Agaynſt ſhortnes of breath, and difficul-

tye of breathinge, vvhich have takE their origi-

nall, of the ſuperfluitye of humors,and deſcen-

de out of the heade dovvnevyardes to the breſt
& ther hinder & moleſtthe partes of the breſt,

and bringe vvith them the { hortnes of breath,

and oftentimes allſoc are cauſe of viccratios in
the breſt through corruptis,and putrifyinge of
ſome pituitous humours: &alſ{o in the Ophthal.
mia,or inflammation of the eyes, vvhich is ther
throughe cauſed, through any fluxis, vvhich is
ſetthrough the vaynes, vyhich lye ſcatteredin
the Pericranio, & (oc runnc tothe externall tu-

nickle of the Eye : Agaynſt reddnes of the face:

Agaynſt paynein the teeth, of the Eyes, inthe
Squvinancie, & in manye other difſcaſcs, vvhich
come in the mouth, and in the throte.

VVe Cauterizealſoc the Eycliddes, vvhich a+
rerelaxated , in like ſortealſo the Ci/za vvhich
ſticke in the Eyes, andallſo in thoſe vvhichin
numberare tomanyc:Allocin the Arteryes of
the temples of the Heade:The tumefaQtis &gy-
lops,the Polipus,and Ozena,the cleaved lippes,the
Ranula,the Teeth, andthe pallate of the mouth
vvhen it hangeth tologe, &alſo the AlmGodes:
TheThorax,or Breſt,on divers places, ſomtimes
{hallovvly, & (6times to the c6cavity of the fa-
rel. yed Breſt:the inferior parte of the Belly:the
Scrotum,or genitalles, & eſpeciallye the hippe a-
gaynſt the Sczazica:& the bone, vnder the knees,
on the inſyde of the legge.

2 S-3=

T
of
ru
te:

Some therare vvhich ſett five cauteryes one Cante-
the heade of thoſe vyhich vve ſuppoſe to be in- ryes for
tedted vvith the lazarye. V Vherof vve mulſtſet * m_
the firſt cautery,one the Coniunttis, of the ſa- jeq vvith
gitalle ſurure vvith the Coronalle : The ſec6de the lazay
abovethe forheade, yyheare the hayre ccaſeth:
arcalſoe goode, agaynſt all.gorruptione of bo- || The thirdin the Necke: The other tvyvothe 0f-

1 nes , becauſe they cexliccate the venoumoul- ' fa Perroſaabove the cares, ſomyyhate aftervvar-

vpvvardes. Theyarealſoe verye profitable,in

al criticke Apoſtemations, vvhich are could, &

| vvaterye,andvyhich are verye flovve in matu-
| ratione becauſe that throughe'/thcire calidityc,
they opitulate,and helpe to ripen, the could, &

roughe humors, vvhich are in that part e. They

of laques Gvillemeau.

de, tovyarde the end of the Lamdoidalle Suture,
toavoyde the end of the temporalle muſcle: to
vvitt one, one the right ſyde,& an other,on the
left ſyde: All vvhich Cauteryesare applyed,to
ſeparate thoſe humors, vvhich cauſe the noſe
rocxulcerate , andthe inzernalle part of the
mouth,in thoſe vyhich have the lazarye, and
vvhich externallye have theire face corroded,
& deformed, & fearfull ro behoulde. Thelſc
Cauterycsare applycd one ſome, þ-caule vvec
ſhoulde not (ce that they have binne cauteri-
yed, onlye bchinde ia the necke, and one both
the Armes.

Oo

eSOf the Potentialle Cauteryes, > hos We onght
ro make them.Chap.z.

He potetiall Cauteryes are tho-

tiall Cau- > ſe, vvhich through theire intol
reryeand WAISE IR ÞB), terable, & extream heaie, being
the mat= WARN [ES F . . A"
ter therof £3 vvith their forces ict to vVOrke

Fall together vvith the benetites of

: 2- our narurall caliditye, burne as
it yveare a fyer in that parte, vvherone they are
applyed , leavinge behinde them an Eſcara, or
cruſt: Ofthe vvhichthe matter of the Corroſi-
veisin great number,and hot, vnto the fourth
degree: Am6gft the vvhich therarſom, vvhich
arc extreame hott, &a little gentler,accordinge
asthceiroperatione is tardive. Amongſt them
are numbred, the Cantharides , the Tartre , the
common Vitrioll,or the calcined, the vnſlifſed
lims, the Auripigment,the ſenior, the lu-
blimate, the .fqgrafortis, the Oyle of Vitriolle
vvith more others)the vvhich vve novvadayes,
doe ſeldome vic, in ſuch forte as they are, vvith
out przparinge, or mixinge of them , ro make
any Fontanelles, becauſe that experience, hath
taught vs ſome, vvhichare farre more conve-
nient, & leſſe daungeroule.

The vs The actuall Cauterye,is much convenieter,

of the ac. then thePorentiall, vyhetherir be vve conlider

tual/Cau- on the nature & ſubſtice, on the healthfullnes

YC. feſtinatione, andcertayntye, in operatione:for
the fycr,isa ſimple clement, havinge noc other
forces then by the heate therof, & exſiccation,
vvithout havige aſſociated yntoitanye venou-
mouſnes , vvherfore the operatione therof is
feſtivous,certayne, & healthfull, pearcing dee-
per therine vvhen vve pleaſe, vvithout cauſing
anyec accidentes inthe circumiacent partes, ai-

thoughe, that thervvith vve chaunce to touch |

them , & that becauſe of the ſubtilenes therof,
and conlideringe the virtues of his ſubſtance.
Itisan cnimye vntoall corruption, vvherfor,
it freethe alſoe from all coyruptione, & putre-
fattione , yea itconſumeth all yenoumoule

matter, & quvallityes, vvhich in that parte might

lye occulted,and hidden,conſumethalſoall ſu.

|
|

I —_

Fol.4.r.

perfluouſe humidityes,and correcteth alſoe al!
vatemperate coulde,and moyiturec,

VVheron the contrarye,the matter, vvherot',,_
the Potentiall CAULCrYCSATE made, arc oftenti- of thee
mes venoumoule : And hovy loever thev be tential
przpared, yet ther operatione, & attione,is vn- ©;
certayne, retardate,and flow ve, and ſometimes = Pos
alfocdavigeroule, vvithour umplye knovvinge tics ther-
the virtues therofe, & Lovye to limite his ope- 2/72"
ratione : Becauſe ſomtimes it ſpreadeth it ſe lfe bbs md
broader, then our meaninge is it ſhoulde , and to» conſi-
cauſeth moredetriment,and harme in corroti- **
one, then vvillinglye vve vvoulde, it ( houlde,
becauſe it doth not only combure & burne the
place vyhereone it is applyed : Burt beinge vni-
ted, vvith our naturalle caliditye , it cxtendcth,
and pearcethalſocdeeper iu the flcſhe then is
neceſſarye it ſhovide, yvherthroughe that par-
te beinge by little,and little calefyed, and vvar-
med,itimprinteth notonlye one that place his
venoumoute nature, but extendeth ir ſelf tar-
ther,throughe the circumiacent vaynes, & Ar-
teryes, &Synnues, in the vyorthye partes, ſpoy-
linge, & oftentimes burninge, the 200d, & vyel
diſpoſed complexion of that parte , out of the
vvhich commonlye follovve verye badde acci-
dentes,and vicerations, vvhich theraticr verve
dithcultlye yvilbe cured, yea alſo ſome times a
Gangrena.

Notvvithſtandinge althoughe the Chyrur-
gians novveadayes, are boulde enoughe in the
application of actuall Cauteryes, novvithſtan-
dinge moſt commolye they vic the potcnrtialle
conlideringe the feare, & affrightednes, vvhich
the Patizntes conccave therote, ſoc that the ac-
tuall Cauteryes are allmoſt therthroughe re-
laptede into oblivione : Iris right true, that yeryes
the Porentiall Cauteryes vvhich novve adayes Caute-
vvevſcarc indeede of velvet, & yerye cxceller, 7
& yyhere of 1 never as yet knevve anye badde
accident ro folloyve , throughe the longe vic
vvherof, vvc haye lcarned the certavntye hovve
to make them.

VVe muſt note, that in the Potentiall Caute-
ryes,or Ruptoryes, vve adde nothinge, vvhich
hath any venoumoute nature or quailitye: Be-
cauſcthey,colidering their virtues,are through
our naturall calliditye compelled ro doe their
operation, vvhich by little, & little ſuſcitateth,
the redormitinge, & ſoporiferoulc forces ther-
of, ſoe that it is not poſſible, but that of neceili-
tye,this venoumouſle nature, mult imprint ſo-
me parcel] of her venoumoutnes in that parte,
ifloc beat the leaſt ther be any venoumoutnes
mixed thervvith : vvherfore moſt commonlye
one this forte vve prepare it, that immcdiatlye
it mightſhevve forth his operatione. The than.

VVe make novve adayes Cauterycs in form tr gf the
of Trocil kes, of divers kides of Al hes, Saultes, potennalt
& limes. The af hesare made of Oacke vvood, -7Hicnics

L of vyhick

*_m—D CIO 1
.

— - wa * =

TheFrencheChirurgerye

"1 of Figgetrecyvoode, of VineBranches, of Bea-
caves ares Neſtravve, of Cabbage ſtalkes,and of Tiximmallo:
invic. The faultesare Meats, Saiperer, Armoniac,Sault
of glaſle, Vitrioll, Tarrare, or Portraſ hes, vyher-
of vve , ether of anve partes of the ſame make
Ive, out of the vvhich vve exiratte a Corrolive
ſult, vvhich may be made (ſtrong, debile,'or cx-
treame ſtronge,and acute, accordinge vvith all
that vvhich commeth in the forclayed lye.

Amogſt all Cauteryes vvhich are made that

is one of the beſt, vyhich M* Pare, calleth the
Cauterye of Velvet, vvhen itis only ſodden, &
made, asit reqvireth to be done:nortyvithitan-
dinge it ſeemed convenient vato me, heere to
diicribecertayn other Cauteryes, vvherof I my
T ſelfc have ſeene divers goode operations. Take
of the ? faultofglaſſe, Potaſhes, ynfliſt lime, of each a
Veiver povvnde,aſ hes vvhich arc burncd of the inve-
Cametrye terare ſydes of a vyynepipe,tvvo poyynde Pur
all thefe together in a great carthen pott, & in-

fuſe theron 18,0r 20, povvnd of clecre vvater,
andletir ſo ſtande ſoackinge 8.0r 10dayes, or
aslonge, till one your tunge you ſcele, the lye

ro be veryeſharpc,and tarte,or yntill that ther

” maydrivean cggc theron, vvitha ſticke daylye

* ſtirringe of the ſame , ardihen vve muſt lett

M-Pare.

R-ccip

it toclarifye, & tincke, vyherof you muſt defu. |

ſc the yppermoſt therof,, andether ſtraygne it
throughe a thicke cloſe cloute, or els throughe
a Felr, vyithour ſtirringe of the bottom or for.
ces therof, of vvhich zquall partc, you muſt ma
ke Trociſ kes,as hcer aftcr vve vvilldemonſitra-
te.
An other Cauterye, of the diſceaſed
Monſ*Cheyal, Chyrurgiane.

OfMon, Take fault of glaſle halfe a povyynd, Sal gem-
Cheval- me ſix ovvnces,Sublimate vvhich is ſmally per
fricatcd, halfe an oyvynce, Aſhes of Vinebran-
ches halfea povvnde, 10 poyvnde of common
vyvater, letall this ſtande and ({oacke, as is abo-
ve ſayed, and therof make trocil kes, addinge in
the end thervnto tvyodragmes of Opii, yyhich
is liqvefactedin Aquatie.

An othet of Mon Raſle
Deſncux.

An other Take tyvo povynde of potaſhes, Sau

ot Raſſe oglaſſand Sa/alcal; , of each halfe a poyvn

<clneur. rovvnde of common vvater , & hecrof
Lixivye,as is above rechearſcd, andalſoc
therot Trocil kes, |

Another of M* Iaqvesde Vile neutve, a great
practifioner at Mompeliers,as I hayc
inthe ſame cittyc ſeene
him make.

Another

ot laqves

Take Sopemakers lye tyvo pounde, Vitriol

three ovynces, Sublimare one ovvnce , make
heerof Trociſ kes addinge inthe end therynto
tyvo dragmes of Opium.

de Ville-
nenfyc.

An other of Monſrde Iovine.

VVe may alſo make goode Lixivye, onlye
of OackE aſhes, or of Al hes of Vinebranches,
vvhEasthe ſame is vvel ſoddE, vvith poraſhes,
and of Beaneſtravve, addinge thervnroalittle
vnſlifſed lime, vyherof vve may make verye cx-
ccllent goode Cauteryes,

An other vvhich quvicklye can
be made.

VVe may in one day make verye goode An other
Caureries taking thertoa povvnde of ynſlifſed vvhich
lime , halfea povvnde of Potalſ hes, Salalcals —
pulverizated very ſmalle, fourc oyvnces, Com- can be
mone al hes of yyvoode tyyo poyynde , infuſe made,
heer in 15 povvnde of common vvater , letit
ſtande & ſoacke three or foure hoyvres, & then
ſceth italirtle, it you take it to be convenient,
and then letirſtande & puritye, or ſincke, and
then let is ſtraygne throughea Felte , & heerof
you may make goode Cauteryes.

Allthoughe that vve haveall theſc foreſayed "'R
thinges ina readines , therof to make alycor —
lixivye, vnles that you ebulliate your fault, ve- ſeethings
ryc ſhort, &drye,it vvillas then have noe great ofthe
forces, & yvill qvicklye beliquefatted, & agayn tj. - we
diſſolved. Therfor to ſcetha right your lyec you terye.
ſhall infuſeitina Baſen, & let her there ſeethe,
and ebulliat,or eyaporate,till ſuch time as ſhee
be veryc thicke, like ynto honye,mixe, & ſtirre
ityvell together, vvith an iron Spazul/a,and then
the foreſayed fault, vvill ſomtimes preſent di-
vers colours,as blevve,& by little & little, yvill
grovy thicker, yet not vvithſtandinge, vve muſt
yet make greater fycr thervnder, vvith violente _
flames, as if it yveara liquefaQige fyer, becauſe Liqvefac
$8ct.co Bur ſault might be melted and liquve- _—_

Wed, as Butter, & chaunged into vvater, of the
-vvhich you muſt rake a little on your Sparula, &
lay iton a ſtone, & if ſoc be it immediatly vvex
harde,itis thEa ſigne thatit is ſufficientlye ſod-
d=n : Forifſocbeasthen you keepeit longer
one the fycrit vvillas then burne, & agayne be
chaunged intoaſhes , as beinge needfull that
there be ſome humiditye therby tro keepe it in
his vyonted thicknes:vvhich beinge done, you
muſt then remove your Baſen from the fyer, &
vvith the Sparu/a,take out the fault, or your Cau
teryetherourt, vyhileſt as yet it be hott, leaſt that
itcleavetherone to harde , vvherof you muſt
then make great or little Trociſ kes, vvhich im-
mediatlyyou muſt put, into diyers little glaſſes
violles,leaſt that through the ayre they chaun-
ce to bealtered, and chaunged, and ores the
ame

GO = 2

vve
muſtprx-
ſerve the
Cauteryes

VVheron «

vveought
to contli-
wk
the appli-
cation of
the Cau-
rerycs-

£4

Divers
conlide-
rations.

Places
n—_
vve apply
the ref
KIYCs,

of laquves Givillemeau.

fame very cloſe, & vſc the yvhenſoever it ſhall
pleaſe you.

Andto prevent, that the Fſcara,of the caute-
ryes, or ruptoryes, be not to harde, a certayne
frende of mine for certayntye imparted vnto
me , thatin the end of the ebullicione of your
lixivye , vvhen ſhecisaboute the rhicknes of
hony, vve infuſe thervntoa little AUHquamrre, or
ſpaniſhe vvyne, orelsanye other ſtronge vvy-
ne,as Malmaſye. And to make them foe, that
they ſhoulde not cauſeanye great payne , vve
muſt as thE adde vnto ita little Oprum, vvhich is
liqvefattedinAquavire, but Lnever tryed ir,

The manner ho\ve We ought to applye the ſe Cau-
feryes. Chap. 4.
Ovyv therefore condecentlye to
applycall cauteryesas vvell ac-
of &y tuall,as Potentiall,vvithour ex-
p: peCtinge therin anyc reproche,
BAG muſt firſt ofall cotider, one
thoſe, vvhichareable to tolle-
rate them:In vyhat places they may be beſt ſetr,
andapplyed:& one vvhat manner vve may ap-
plyc them:for commonlye,the vvithercd, & le-
anc perſonnes,can nottollerate them, vnles it
vyeare one the heade, becauſe their bodyes,are
nothing els then Membranes, Vaynes,6& Syn-
nues, vvherthrough ſ6times greate payn might
be cauſed, oranye vayn, or Artery might chai-
cc to be through corroded, one al yyhich thin-
ges vve muſt note, vvhen as vye mult applye a-
nyc Cauteryes:vve muſt alſo conſider, one the
nature of the Patient: fora ſtrong groſle bodye
asa Labourers, or countrye cloyyne, may farre
more ca(\yer tollerate, & ſuffer a Cauterye,then
a tender delicate bodye, or ofa vvoman: nether
can anyc obdurate parte, as is the { kinne of the
heade, ſoc eaſylye be corroded through,as anye
other ſoft or tender parte, vyherfore vve muſt
houlde the Cauterye longer one the one place,
then one the other. A little atuall Cautery, or
a little parcell of a potEtiall Cautery, vvil vyor-
ke as forciblye, one a tender, & ſofte bodye,as a
great cauterye vvould doe, one a ſtrong groſle,
and obdurate bodye.

If ſoc be,it be a replete, & corpulet bodye,or
an vnhealthſame bodye, vve muſt then firſt of
al Phlebotomize,or purge the ſame, becauſe in
the cauterized partes ther chaſice not to come,
anyc concurſione of humors.V Vhen vvedeſi-
retoapplycanyc Cauteryes, or make any Fon-
ranclles, vve muſt conſider that vve apply them
not oncany ſynnuiſhe parte, nether on the en-
des,or beginninges, of any muſcles, nether any
greate Vayne, Arterye,or Synnue.

VVeapplye them moſt commonlyc on the
Heade,one the Armes,and one the legges, & be
ryvixteall corners of the heade, forthe curinge
of divers diflcaſcs, vyhich heere before vyec ha-

verecitcd, the aunciente Chyrurgiis have ma
de theire choyle of that place, vvhere the Sagit +
talle ſuture, ioyneth and vniteih her (clte vvith
the Coronalle, vyhich place is like vnto a thre-
fould vvay of the heade:the vvhich plate becau
ſe vveſ hould not miſle of the tame, is | hevyed
vnto vs, of Aibucaſrs:To vvitt,that vve caule the
Patient, to put forth the one of his handes, and *70vv v*!
lay theendtherof, (vyhichis the vvrilte, or be- |,"* 1
dinge of the hande)one the originall, & begin- h. 14:
ninge of his Noſe, betyvecne both his Eyes,aind P/
the ſtretch forth his middlemoſt,ot longett tin- '!.*. 1;
ger,toyvardes the crovvne, or ſuperior parte of upp!
his heade, & one that place vyhere asthe torc- +
ſayed finger ſhall have his endig, ther vve mult © ©
apply the Cautery, becauſe that ther is the pla-
ce yyhere the ſagirall ſuture vniteth her teltc
vVith the Coxonall ſuture: & if to be throughe
the applicatio of this cauterye, yve delirce to doe
anye vtilitye, & profite, yve mult the ſufterthe
ſame to penetrate vnto the bone: for by this me
anes the bone being denudated, it vvill cxfoli-
ate, & peele,through the vvhich, the apertione
continueth the longer open.
V Vherfore,divers, after they have applyed
the potEciall cautery, & the next day folloyvin-
ge have cutt of the Eſcara,doc applye theron an
attuall cautery, vvithout any daunger,as oftcn-
times I have ſcene to bedone of M* Pare.
VVe may applycaltoe cauteryes, of corroſi-
ves, in the poſterior partes of the Heade, in the
end of the ſuture lambdoide, behind vnder the
Earc,therthroughe to avoyde the mulcle Crora-
phite: To the ſurer findinge of the vvhich place
therfore, vve muſt cauſe the paticntc to ope, &
ſhut his mouth, and {oc ro fecle the motion of
the ſayed muſcle. MonffMartel choſen, & ordi-
narye Chyrurgian to the kinge, vvhich vvas an
experte man, he applyed cauteryes behinde the
Fares, in the cocavity vyhich is ſituated behin-
de the little flappe of the Eare, called #bra, and _
thatagaynitall inveterate difleates of the Eyes, C _ Pi
vvherot he certifyed me, to have allvvayes had 1; ©
ominouſc and happye ſucceſle , vve allfoe 10-
metimes applye the Cauterycs in the Necke, in
the hollovynes, or concavoulſnes therof, bur
vve muſt conſider that they doe not penetrate
todceplcaſt that vyc chaunce to aduſt , or cor-
rode, the cight ſmall muſckles, of the Heade,
vyhicharein this place ſituated, vvhich might
cauſe daungeroule accidentes, as I oftentimes
have knovvneto chaunce,
The moſt commoneſt novve in vie, is to ap-
ply the Cauteryes,one the armes, vvhere moſt . _—
curiouſlye, & vvith greate care vve muſt make tjyeroag-
eletione of the place:the molt fitteſt place is in plyc the.
the middeſt of the arm; tovvyardes the inner (y- —_—
de therof, right betvveE the brachialle mufckic, arms.
& the mulſckle Biceps cloſe to the tyde of the he-
ade vayne. And convyenicntlyc to make choyle
L iz of this

The Frenche Chrrurgerye

nes , vvith plaſters of Infrigid:ns Galenz , or els
vvith ſome linnen cloutes ,; beinge madefyed,
anddippedin anye diſtilled Aquolityes,or vva-
ters,
Novv beinge ſufficientlye Cauterized , vve
muſt then by all meanes indevoure to qualifye
& calc the payne, and doloure therof, & to cau- |
ſe theEſcarato ſeparate: vvhich mult be effeted Toeaſs þ
throughe anye vvarme , and moyſt remedyes, **< £2Yn,
4 : . _ andSepa-
vvhich is xquallye proportioned vvith our hu- ,tethe
miditye, & calidity, becauſe through the humi- Eſcara,
terve:havinge novy vvith your finger foyvynde dityc,or moyſter therof ir may ſoacke through
out the moſt titteſt place vve multthereapplye the Eſcara,andallo the finitimate partes therof,
\ſeanes the Cauterve. And touchinge the ſame vyhich |- vvhich arc obdurated, & dryc, & becauſe throu-
Nov '0 vyvedelireto apply one the legges, the moſtc$d- | ghe the caliditye therof, it might ſuſcitate,and

L0

of this place , vve muſt lay the firſt finger one
thar place, ftiffelye crul hinge the ſame, & vvith
the other hande,foulde & 1 hurt the elbovve, &
az1yne ſtrech him out, & alllo lift vp theArme,
becauſc through this motione of the Arme vve
might perceave, vvherther there be noe ſynnue
or Tendone lituared thervnder, to vvitt vader
your finger, & vvhether you finde in that place
noc concaviry,or interſtitia of muſcles, vvhich
is verve ti:r, fora Peale or little pellet to be the-
rinc,to keepe open, & apert the foreſayed Cau-

—- —_ _ ” OS.

to Cautcrize, vvith Comprelſles, beinge made-
fvcd in Plantine-vvater, or anyc other humidi-

tve,vea &allo veltitcthe edges of the viceratio-

andagayn theron an other vyhich muſt be yet the hole

greather,and then tyinge the ſame vvith a liga-
ture,acordigas the parte { halthE be requiring,

The

of the

| ©*- r3c5 Venictett place ther vato is ryvo,or thre fingers | dravve vnto him,thc naturalle calidityc,out of
-17.11- breadth belovve the knees, vvhere vveare vicd || the internall partes of the body into the exter- I
> ood wy toryc our garters, vyhether it be internallye,or || nall partes of the lame,& by this meanes expel :
| 'F externallve one the legge : Butthoſethatare || thatfro him yyhichis mortifyed & combured, p
| much vicd to ride on horſebacke, & alſorocau- || Amongitallremedyes there is none better, the E
| {ſc better ab{ceihione of humors, vyherthrough || that vvhich is made of Oyle of Egges, of inſul- k
| the Scatica is cauſed, for the itis better toapply {| ſed,and freſhe Butter, & of Venetiane Terebe- p
them in the externall partcs of the legges, in li- || bentine,addig in the end theryntoa little poul- t
| kc ſorte alloc for vvocmen. der of Ireas, Ariſ{olochie,and alittle Beancmeale, >
| Aimoni- Havingetherfore vvcll, &dilligentlye conſi- || vvherthroughecalſocall the purulente marter, F
| tionein dercedon the fitteſt places, and thoſe vyhichare || vvhich hangeth therone as lime, and an Eſcara
rhe 2pPIY_ alſo the ſureſt, you mull the firſt raceavvay the || is purifyed, Some vica Digeſtive made of yolc-
prong” by _ havrc,ifat the lcaſt ther be any. V Vhich being | kes of Egges,of oyle of Roles, & of Tercbitine:
all Caure- finit hed, yve muſt then lituate the Paticnton a | But that is not oe neceſlary,as the formeſt, be-
T7CS- convenient place, beinge helde of fomie other || cauſc it doth not loe califye, coagulatingas the
pcrſone,if ſoc be it be needfull, & the you ſhall |' yolcke ofan Egge is vvonted to doe, andalloe
rake your Cautery, vvhich muſt be proportio- || immediatlye vyaxcth drye,and exliccated.
ned, & fal honcd according alfoc vnto that par- | The potrenriall Cauterye, vvhich maketh an """ROINER
te vvhich you intende to cauteriſe , and muſt || F ſcara,or (cabbe, being as it yveare aVicarins, of muſt ap-
be glovvinge, & redd hott,oratthe leaſtas hott || theactvall , is in this manner follovvinge ap- plye the
as is required, becauſc your operatione may at '| plyed. VVe muſtfirit ofall makea playſter, of [| ——_
one time be finiſhed , ifit byanvye meanes be || Diacalcirheos,or ſome ſuch like,as greate asa lar- "_
poſſible, vvhich accordingeas ſhalbe required, || ge peccc of ryvelve pence,in the middeſt vyher
you mult imprint the ſame deepe, orlhallo- || of vve muſtcutalittle hole, as greatas the nay- Y
vycin that parte, conlideringe, & taking heede, || le of ones little finger,ora little greater, accor- ti
that in noeſorte you chatince to hurte the cir- || dinge to the bignes as vve delire to have the a- y
cumiacent,or finitimate parte thervnto, to the || pertione: andit you delire to have the apertion -
prxventing vvherof,therarc invented, & foun- || ſomvvhat longe you muſtthen alſoe make the r
de out divers defeniions for the forclayed Cau- || hole in the plaſter ſomvvhatlonge , & then lay
rery,as certayn pipes, & little caſes being com- || the ſame on that place vyhich vve deſire to 0-
poted, and made of Iron, leaſt that vve ſhoulde || pen : And inthe hole of the foreſayed plaſter,
chaiice to combure, the tinitimate, & approxi- || vvherthroughe vve perceave the ſkinn denu-
mate partes , vyhetherit vveare throughe the || dated, lay your potenciall Cauterye, ot Corro-
faulte of the paticnt,or cls throughe temeroul- || five, vvhetherir be greate, or ſmalle accordinge
nes, & timoroulſnes of the Chyrurgian, a$in o- || as you dcelire to make the apertion great, or lit-
ther places vve moreat large have [poke of, & | tledeepe,orfhallovv:Y Vhich being done, vve
alloc therby have placcd the diſcriptione of the || muſtlay thers,a ſmalle dubbledclovee, vyhich
forclayed Cauteryes. | muſt be {ovyhar greater the the Cautery, ther- alin
rae the Binge therfore neceſſary,oftentimestorci- || vvith to cover the ſame, and theron as yetan O- ,,yv ma-
"w1cra- teratethe Caureryc,as in any great Gaxerena, or || therplayiter , vvhich muſt bealittle broader keth a
rd Cau- in any Caric of legges, vve mult then cover,ti:c | then the firſte,and one this plaſter an other c6-. farre 2 S
yes. approximate places thervnto vyher vve intend | preſſe, vvhich muſt be of tvvo fingers breadthe —_— 1

of laqves Gvillemeau. Fol.43-

The Cauterye therfore having done his ope-
rati6, vvhich moſt commonlye i inthe ſpace of
tvvo hovvresis finiſhed, if ſo be the ſayed cau-
rerye be {tronge, & v iolent enoughe, vve muſt
as then rake it of: and preſently to caule the Fſ-
cara to ſeparate, vye muſt makea crofſevviſe in
ſcilione therin: Other ſuffer her, ot her ſelte to
ſeparate, vvithour inſciſioue: Some inſcide her
royynde,aud then lift her vp, & ſo cut her looſe
from vnder. But vve deliringe through the ap-
plication of a Cauterye,to make an aperti6, for
the evacuating of any matter, vve mutt not on-
lye the inſcide the forcelayed Eſeara, but allo pe-
arce ſomvvhar deeper therin,vntil ſuch time as
vve have ſoyynded the matter , to give her pal-
lage.

Dives If ſoe be the Cauterye be applycd ro makea
foranclle, yve muſt then cauſe the Fſcars rhrou-
tokee cepe,
opena ghethc layed remedves to {cparate, and keep 0-
Fontanel, pen the hole, or the forelayed ylceratio, as grea-
vyhich teas the rotunditye ofa bullet : to the effectua-
throughe
2 poren- tinge of vvhich,ſome vſca great Peaſe, vy hich
tall cau- throughe the great humidirye vvhervvith thee
teryes js ſoacked ſyvellcth as thick & as bigge agayn,
as ſhe vyas before , by the vvhich mcanes vve
may keep open the: apertione, as longe as plca-
ſeth vs:others make lirtle pellets of elder pirhe,
of Rhabarber, of Agarico, ofthe blacke neclinge
roote,of aGallenut, of GTtian, & ſome of goul-
de,or of ſy lver beinge hollovve, & concavovylc,
but the moſt convenient, & fitteſt vvhich Tha.
ve experimeted,arc made of vv hyre vvaxe,am-
ong(t the vvhichis mixed, verdegriece, Cantha-
rides, hermodadtilles, &a little auripigment, ad.
ding thervnto alittle piroſin. This kinde of lir-
tle Balles , vvearcinvented of Mon( Haberr,
Chyrurgiane tothe kinge, one of the mott ex-
pert Chyrurgians of our times.
What Touchinge the time, of keepinge open theſe
tinuance Fotanclles:Celfus reacheth vs, in his fourth bo-
yvemay ockeand22.Chap.thatitis oftentimes neceſla-
- we hw rye for the Chyrurgiane, to exvicerate the par-
ration, Ts of the bodye, vvithaglovvinge Cautery be-
inge,as it vvcare,an zternall prohibitione, that
vve ſhouldnot ſuffer ſuch viceratios ſo quick-
lyc tocloſe agayn,as of themſelves they vvoul-
de, bur that vve muſt ſuſtayn and keepe them a-
pert & op&,till ſuch time as the diſſcaſe, vvhich
throughe this apertione vve intend to cure, be
vyholyec finiſ hed, and cured.

Of the tranſforation, or ſeton, and of the manner ho
we ought to apply it .Chap.s.

He tranſforation, or the Seton,

ens c may in tvyo ſortes be vnder-
an. > ſtoode, properlye, and impro-

perly,vve ſimplely vnderſtand
OS it ,coſidering the threde vvhich
= vvedravvecleanc through the

_» "8

OO ——_

—

_

| metofolloyy, the dire concurrence of theti- Ci, *

— —— —

_ ——_—

one the other vve mutt denotatc a line viih

_—

and leene backevvardes over, becantc therbv. t ito;

_ Co

thoſe humours, vvhich deicende,and ftinck, be-
' hindein the Backebone, and in the! Hippes: Ke
| beingedravven through the Navlc, or Scre11#4

ſkinne,vvith the needle, vvhich threade in aun-
CiEt time, vvas made of, courtc havre.as of hor-
{chayre,orany other ſuch like, vvhich of the la-
tiniſtes is called Sera: Bur vve novy a daves ma- Cords Tn
ke our threde of (11cke, of Cottcn, or of Couric properles
yarne, Improperly,vvey nderitand by the Sezs, vt
alogeſtretchinge viceration, in anyc externall
parte of the body, vyhich isclean thrutt throu-
ghe the dubble | kinne, and that thronghe agi-

litye , and dextcrityc vvith aglovvinge Cau- I
terye.

VVeapply cſpeciallve the tranfforati6, or 1; v4;
the Serzox,in thre partes of the bodyv:to vvitt be- pair 154 ve
hindecleane through the Necke, al:houch to- apy =

bers,applyethe ftamein thelength therote: In
the Navic,and in the Scrorum,vihen as it is full
of matter, & ventolity,as it of:cntimcs 1s vvon-
tetO happen i inthc Dropty C.

This tranſtoratione,is vied, ether for any rce- _
grethone of humoures, or foran cvacuation, or = > "90
expulſione of the ſame: For vve applyinge the SC
torclayedirantſforatione behinde inthe necke
irthenrevelleth, and dravvcthe backc aga\y tic
thoſe humors vyhich concurre tovvardes:hec
Eyes vvich thoſe allloe vyhich runne tov varde
the Mouth, and the Breſt,and retavncth allioe

he then dravveth ther throughe all the Aquo-
litye , and ventolitye vyhich is thcrin contay-
ned,

Itisnovve adayesalſoapplyed on trvo man- T,\;..,, @,-
ner of yvavres, namelve vvith Pinſers,and viith ts of ap-
an aQtuall Caurerye, or throu eh the Needle on- P'cativa
Ire. Thetranſforation vvhich onlvc is laved in |
the Necke, muſt be applyed betvvix: the {econ- tw
de & the third Ferrebram. VV hich can enicnt-
ly tocfiecte, vve muſt cauſe the patient io lir on
a little toole, andlealt that the tranttoratione
{ hould coprxhend more one the one fvde then

Inckin the middlc of his neck, or cl5 on ti:c (1-
me parte vvher vve vvill apply the trantoratio, 257 746
cauting the paticr to hould his heade on highe, |

the ſkinne might b= the looter, and 1: treich the IJ __

farther commaunding then one of the {ervai- bing |

tes, or ſtanders by, that vvith ont of his handcs the ncc

he take hould one the ſkinn, cloſe by the hav- *<-

re,as deep as he ci,cther accor-ling the lengthe,

ot thvyarre over the { kinn, follovving the line

vvhich theri is made, lifrig the lame in rhe mid-

dle on highe, vvhich thE the Chyrurgian, vvith

his lefte hand ſhall take hould one in the mid-

deſt of the ſame, and elevate it, becaute th at he

vvith his right hande, & vvith a rounde, & vvecll

cuttinge threded needle vvhich muſt be thre-

ded vvith a thicke threde , may thrutit cleane
throughs

— - o CE EXT Y _

The Frenche Chirurgerye

throughe the ſame, the foreſayed thred beinge diatlye agayn being dravven therout, vvithour
in this ſorte thruſt therthroughe vve muſt cutr || ſuffering the ſkinn to fal,vve muſt thruſt thro-
The tang him of cloſe ro the Needle. Butif rather you || ughe the perforatione , a needle yvitha thicke
foration deſired, to effecte the forelayed transforatione || dubble threede vvhich threde muſt be ſoacked
vvicth an yyjitha hott Iron, the ſkinne beingelittvp on || in the remedyes above rehearſed for theCaute-
-——| both ſydes, through ſome ſervant, or through || ryes,orclsatthe leaſte being made fart in ſome
the Chyrurgiane vvith his Pinſers, vvhich he || Digeſtiv&& then the ſayed threde being difſec-
muſt houldefaſt in his lett hande , dilligentlye || ted,and cutrof,yve muſt ſuffer him to remayne
conlideringe leaſt he take houlde theryvith of || therin, as isabove rehearſed,'& applyetherone
anye Muſcles of the Necke, vvhich are ſituated || a Playſter of Refrigerans Galeni, for the firſt or (e-
vader the foretayed { kinne, as to that purpoſe, || conde daye,and then a Playſter of Beronica.
| & intent he muſt cauſe the Paticnt ro bende his || This foreſayed threde,or Seron, vve muſt ſuf-
| necke, hould his heade vp, or on highe, & right | ferittocontinue therin , aslonge as it ſhalbe |
by this meanes to knovve, yyhetheranye of the || needfull,as vve have ſayed of the Fontanelles, |
forclayed , Mulclesare comprxhended of the || As concerninge the tranſforation, yvhichin A rwranſſ
Pinſersornot. V Vhich beinge done the Chy- | the navile,or in the Scrorii may be applycd it yvil ration ap.
rurgyane muſt nipe, & {hut cloſe together the || be ſufficient vyhen vve take the Scrorum, & the p'yed in
forciayed pinſers theron applyed,therby to be- | extreameſt end of the navle, & ſo perforate the tym,
numme & diſlipate the ſenſes & feelig vyhich | ſkinn being doubled, vvith a reaſonable greate
through the hott iron might be cauſed, &asthe | orgroſle needle, vyhich muſt bethreded vvitha
vvitha triigled glovving cautery thruſtcthrou- | vvoollen,cotten, or ſilcke thred,and applyinge
ghe the hole of the pinſers & ſoc throughe the || therone, the ſelfe ſame remedyes, of the vyhich
elevated ſkinne alloe : The vyvhich foreſayed | vve have in the tranſforatione of the neckere-
{kinne bcing in this ſorte perforated, & imme- |! hearicd.
one of Chyrurgerye , wherin is diſcourſede and handelede of
the Ligatures,or vvindinges, & circumvolutions, & of the conye- a
nience or the ſituation of the partes, Contayning :
lixe Chapiters.
VVhat the Ligamentes, or Circumyolutionesare, theire matter, qualitye,forme,and quanti-
tyc. Chapir.1.
The Kindes,and differences of the Ligamentes, Chap.2.
Rulcs,and generall inſtructions, vyherone vve muſt conſider,in all circumyolutiones,and Liga-
mentes. Chap.z.
| Hovve vve ought to tye the Ligament,and agayne make looſe the ſame. Chap.4.
| Hovve vve mult ligate,and tye, the broken Armes, Legges,and Hippes. Chap.s.
; Ot the placinge,and ſituatione of thoſe partes, one the vyhich the operatione, is ſct one vyorke.
| and imployecd. Chap.s6.
; 03 What the Ligamentes or Circumreolutiones axe || a&te,and handle of the Ligamentes, or bindin-
Cr | their matter, pane quanti- | ges,of the vyounded parres vvherin vve ought F
[4 tye. Chap.1. toconlider,yyhat their marter, theire qualitye, -
| forme, quantirye, & differences are, hovve vve What Lj- =
A Avingetherfor ſpoken, &trea- || ought to vvind, and agayne vnyvinde the ſame. 82men-
> ated of the combinationes, and The vvindingetherfore , or dreſſinge ofa ***
| ſutures, vvherthrough al vvoii- |] vyoundeis nothingels, then avvindinge abou-
des, & diviſione, or ſeparatis of || te,orcircumvolution,of the Ligatures, vyhich
I the vvholc is inſerted & com- || isas muchto fay,vvitha broadeand longeliga-
| bined together agayne, andthe || mEt, vvhervvith not onlye, the vvounded par-
lippes or edges of the forclayed vyoundes are || te , buttallſocthe fin itimate, and circumia-
_ kept cloſe together & { hutt, vve vvil aoyyetre- || cent partes , are involved, and circumyeſtede

| by

—Syu__ n _ — — _ > —_

of Iaqves Gvillemeau,

by this meanes to reſtore them to theire For-

mereſtate, and naturall beinge.

Matter of Tholc Ligametes accordinge tothe afftirma-
the Liga- tions of aunci@t Chyrurgias, are of divers mat-

Mmcntcs.

Hippocra
ees+

tcr,as of Linnen, vyoolle, or Lether:the linnen
Ligamentes arc the moſt commonett of all the
other, vvhich atthat time they vicd , vvhen as
they vvoulde ſtiftlye compreſe, & bringe clote
rogcther anyc partc : they vicd vyoollen rovy-
lers,in the fractures vvith vyoundes, gentlye in
that ſort to retayne together the broken bones,
& rocaule noe payne, orinflammatione at all.
Hippocrates vied theLigamentes of lether,in the
fractures of the Noſe, & the nethermoſt chavy
bone: But of vvhat matter ſoever vve make the
they muſt not be roo much vvor ne out, becau-
ſe that they may be {lroge enough,to be dravvn
cloſc together, & {tretche ftifflye out : Farther
more they muſt be even ahd ſmoothe, nether
muſt they have any lilvages, nether muſt it ha-
veanyc harde ſcames, & mutt be cut aright the
threde,accordinge the length ofthe linnen , &
not cotradictorily: becauſe they may tyc ſmo0o-
the and cvenlye, vvithout the one iyde beinge
hardre tycd then the other , as oftentimes it
chaunceth, vvhcn the rovvler is cutt contradi-
Qtorryelye : It is righttrevve,that the ligature
vyhervvithe after Phlebotomye vve tye the ar-
me, yceldeth it ſelfe better beinge ſo cutt, bur it
chaunceth hecrin, becaulc in that place it ycel-
deth it ſelfe better for the bending of the arme.
Touching their qvallity, they muſt be cleane
& vvhyte, leaſte that throughe their impuritye
they be a hinderance, or interruption vnto the
parte, & becauſe by that meanes they may the
better reccave the humidityes,as Oxicrate, &

—

— ——

_ _— —

_ _

vyync,orany ſuch like, yvherin vve chaunceto

madifye, & yvett them. They muſt allſo be tine
& light becauſe throughe their ponderouines,
they doe not overburthen the parte, ſuicitate,
& provoke payne, & cauſe inflimation. Third-
ly they mutt be ſofte, & flexible becaule throu-
gh the obduratnestherof, they might chaunce
to hurte that parte. Fourthlye, of linen, vvhich
muſt be verye vyhyte,& not toclolely vveaved
becauſc ſothey ar more betterto be placede, &
the matter, & the eyaporationes might the eaſi
cr therthroughe tranſpire, vyhich being therin
occluded, cauſe inflimatione, & itchinge.

— —— — ——

Forme & Concerning theirforme \&figure, vve maſte |

ure of
- Liga-
mentcs.

knovve, that theſe foreſacde Ligamentes , or
rovvlers, are cther rovvicd vp,or involved, (i-
plelye, or dubblelye, vnto the middeſt of the
forcſayed ligature & of an xquvalle latitude in
all places,as are thoſe vyhich vve vic in the frac
tures of the Armes, Hippes, & Legges: In like
ſorteallſo in the vvoundes, & vicerations of
the ſame partes. The dubble ligament or rovy-
leriscther of on pcece of linncn,on the endes
beinge diverſelye cutte, or on an other place,

cy es Rt >_> = ——

%

CE cm

_—

OW IO OOO

m_ — —— CC > —

in other endes,as are the ligametrs of the Head,
vyhich are cutic into fourc,or fixe endes : And
in fourc endes forthe Scrorzm : Or in the liga-
ment, vvhich is ſoyved together, & made of di-
vers peeces,as arc thote vyhich arc vicd for the
ftlancks,for the Breſtes, for the Tclicies, & tor
the Fundament, & that elpeciallye vve delirige
to ſpare, & be chairye of the linnen. Andas
much as concerneth their longitude, & latitud
that coliſtcth on the contideratione, & indge-
ment of the Chyrurgiane, vv hich betore hand
muſt ſee the figure, & knoyfec it, & mutt therby
allſo be able to knovve, the contor matione, &
litvatione of the parte, & the diverſitye of the
difleaſe:for vvhen as yve are vrgede to make a
greate circumvolutione, vve muſt then cont1-
der on the length, & make it as long as is reqvi-
red:cofideringe the breadth, vve muſt make thT
accordinge tothe longitude, & laticude of the
difleaſc, to that the forctayde ligament muſt be
greater the the diſleale, becaute vvith on circi-

Fol.44

The Liga

mct mui}

volutione doc not onlye i involre the vrounde _ broa
butallſo both the endes therof as vvell on the 4 <r then

one {yde as the other:tor it ſo be the ligamente
vycare ſmalle, he muſt thT cru! he the "difle ale,
V vherthrough greate payne, and inflammati-
one might be cauſede,

the diflca-
i.

And to ſpeake of the qvanti:ve of the fore- Quant
ſaxed ligamentes, that is nothinge els then the tie of the
meane, and meaſure v\hich vve muſl vic and Ligime-

obſerve ctherin ſtifly or lootely bynding , as
in reſpect, of the pertone. Foras the one man
is grofler & more corpulent then the other, to
therare alſo difſcaſes, yrherof the one is more
paynfull then the other, vyhertorc vve muſte
conſider, that the ligament be nethertoo ftifly
nor looſely tycd, tor all ligatures vvhich are too
ſtiflye boyvnde, cauſe payne, & concuriione of
humors, vvith inflimations, yea & ſomrimes
allioa Gaxgrena: And thote ligamentes vyhich
aretoo looſe, they are profitabletor nothinge,
& cauſe that the rettauratede partes, vvhich are
litvatcde, move therout, as the broken Legges
& the diſlocatede membres, vea & allio the lip-
pes of the vvoundes yyhich arc intertede, and
brought rogether throughe the looſe ligature
doc agaync ſeparate the one from the other.
And finallye in one vyorde to conclude , the
mediocrityc of ligatione,is a greatc ſolace, and
comforte to the Patient,as he yvill then vvith
his ovvne mouth teſtifye,

VVe muſt note that all ligatures muſte
notinavvoiid to faſte be ligatede,as in a Fract-

EK -*

Wherone
in Ligatt-

ure&leſicin a Fracture vyhich is 1 yithout a one vvec
vvounde,then ina ſimple yyounde:Y Ve muſt ought to

alllo harder, & more violenter binde & ligate
on the vulneratede parte, & one the fracture ,

thEonany ofthe approximate, & nexte adioV-

nig partes, therby to repell, & drive back agayn
the humors, vyhich doe theron ſinck and allto
crul he

conſid «<a> fs,

craſhe our, thoſe vyhich are ſuncke intothe fi
nitimate partes, vvhich is leaſte ſhurre:for in ſo
doinge, vve keepe thoſe partes occludede, & li-
berate, & free from all inflammations. Farther
morcinthecndof the ligatione vve clpycatE-
der rumefattione,out of vvhich vve may iudge
thatthe parte is reaſonablye ſhurre:if ſo be the
rumor bc harde, & obduratcde, & blackiſ he, ir
is then a ſigne that the parte is roo ſtiflye tryed.
And vvherasatall vve perccave anye tumefac-
tion, it isa ſigne that the ligamentis too looſe-
lye tyedc.

2 Of the kindes,c> differences of the

ligamentes.Cha P.2.

Tevo for ED 5; 2 Ippocrares gennerally hath made
res of liga Y oY; LJ = tvvolortes of Ligamets: yyvher
ments in FM | S851 IF of the firite is, that vyhich of it
y_—_— 1 1 ſelfe, & by his virtues did proſ-
Firſt kind +} (2 per,& opitulate the curinge of
of ligatu- E$ISETZ the dileaſes, and vvithout the
= vyhich they can not be cured becaus that vvith
out the ſame, the parte can not be contaynede
in his ſtatione, or forme, vvrherin {hee muſt be
contayncd,to be cured, & to be przxvented that
ther happen noe f luxione vnto the parte, ne-
ther the matter beinge therin congregatede,
| vvithout the ſaycde ligature coulde not be dri-
| ven,& expellede therout. As vve may note on
| the ligamentes, vvhich in the vvoundes of the
Heade vve vie, vvhich allſo in all concayouſe
viccrations vve vie, in Fraftures,in diſlocatiss, |
recurvatione of IoynRes,iggthe ſeparatinge of
muy thoſe partes, vvhich agaynſt naturclycthe one |
above the other, in the reduCtione of the ſepa- |
ratede partes, in the apertione of the partes, |
| vyhich are to cloſelyec occludede, & { hutte & a-
| eaynſte the minde of the Chyrurgiane , vvill

| combine themſelves togethez.
The ſe- The ſeconde ligament, is that vvhich is or-
e5d forte dayncde, not onlye becauſe of itſelfe itis com-
ot Liga- modioulc, & profitable, but Per accidens, & bye
men's chaunce,&itis but onlye viced, tocontayne, &
keepe the remedyes, & compreſſes, on the dif-
caſcde parrc,as on a great, & dolorouſe inflam-
matione,on a greate Apoltematione,or on any

, | otherdoloroule parte.

Rediviis Andtouchinge the ligature vyhich of it ſelfe

|
|
|

> —

of the js profitable, & commodionle, ther of ther arc

- — þ way tvvo kindes, vvhich of the vic, vvher varo they
| ture arc ordaynede,arc taken: vvhich is ether to co- |

| tayne the partes ascloſc in their naturall being
becauſe therthroughe they may be combinede
& vnitede, vvherfore this ligatione is called, the
agglutinative,or incarnative ligatione: Orels

ro come to that parte, & cxpell the ſame ther-

——_———_—————————. oh M6.

The Frenche Chirurgerye

him, vvherfore he is called the expulſive,or re-
pellinge ligature.

The incarnative or conglutinating ligation, learnats-
is commoly yſcd in this form on the vvounds. ve Liga-
To vvitt, that vve roule vp the rovvler, or liga- PO
ture on both his cndes, vntothe middeſt ther-
of, vvherof in cach hide vyve muſt take the one
end beinge rovvled vp:laying that parte of the
ligamert vvhich is not rovvicd vp,on the other
ſyde of the vvounde, reducinge both the endes
of the ligatione, vvhich vve have in our hands
above on the vvounde, that ther throughe, vve
might adioyne, & bringe together, the ſepara-
ted partes, & lippes of the vvounde,croflinge
the forcſayed ligature, in forme ofa Burgundi-
anecroſle, orin formeasin the margine is ſet
dovvne vnto you: Then vve muſt reduce both þ 4
the endes to the parte, bringinge one end, to-
vvardes the ſuperiour parte of the membre, be
cauſe therby the fluxione may be prxvented, &
the other end, on the inferior parte , thatthe
bloode therthrough, vyhich is ſuncke, and dil-
cended into thar parte, might be depreſſed, and
cruſhed out:and the fore ſayed Ligarure muſt
be of ſuch a breadrhe, that vyhen as he is rovy-
led vp, &applyed on the vyounded parte , may
notonlye comprxzhende the vyounde but al-
ſoc both the endes, of the ſame.

If ſoc be the vvoiide yveare ample, & greate,
and the ligature,coſidering his latitude,coulde Nora.
not beaccommodated, yve muſt as then com -
przhende butthe one halfe of the vyounde, &
the other halfe therafter,

Sucha Ligament therfore muſt be reaſona-
ble cloſelye vyvounde, butallvvayesalirtle ſtif.
fer one the vyvounded parte, as Hippocrates vvil- 14;
leth vs todoe , yeaalſo, inthe vvoundes vvith tes,
Fracture, becauſe there throughe might be ex-
preſſed, and crulſ hed out, the bloode, vvhichin
that parte is ſuncke , leaſt that there ſhoulde
happen anye inflammatione thervnto, & then
an Apoſtemarione.

The expulſive,or repellinge ligamente,is ve- Expulſive
rye much vicd in Fiſtles, & in concavouſle vice- Ligamer.
rations, thervvith ro expell the matter, vvhich
is diſcending to the grovynde or bottome of
the ſame, & vyhich throughethe longe retenti-
one,internallye corrodeth that part. This liga- Admoni-
ture isallio verye commocioule in the Varices 4926
or burſten vaynes, & in tumefatted Legges, but
vve may not vic it in Fiſfles, nor in any conca-
vouſe vicerationes, vnleſſc firſt of all they be
putrifyede, & their calloſitye taken therout, ne-
therin inflammationes: |

This ligamente is impoſed, vvith the one end Howe
being revolvede, & rovvled vp, begining vvith p% the -
the ſovvnde part, vvhich is ſityatcd cloſe to the expulſive

a

to przxvente, the fluxione vvhich mightchaſice || bottome of the Simms, vyhere he muſte be ſom-

vyhat moredravven together, & ſhurt, & then

our, vyhich is molcſtioute, & rroubleſom ynto * is reduced agayne tovvard the vvounded parte,

My

Tl
dc
of
m
bo
he

The ſec6-
de Kkinde
of Liga-
ment a
bove re-

hearſe d

Ligamer
for the
ditlcalc.

of laqves Gvillemeau.

& rovvarde the mouth,or apertion of the con-
cavityc, vvith out bindinge the ſame to ſtifte, &
conſideratione,of the inferiour parte.

As if the Sinus be in the legge, & the botrome
of the ſame vader the Knees, & isalloc higher,
& hath his iſſu in the craſſitude of the calte, vve
muſt them beginne ro binde, one the Knees, &
finiſhe in the inferiore partes therof. Contra-
rilyc if ſoe be the inferior parte of the Legge, &
the iſſue therof be by the Knees, vve mult the
beginn the ligati6 by the foote, & end the ſame
cloſe to the Knees. Burif vyedeſire to vie this
Ligature in greate Armes , and great Legges,
vyhichare Varicouſe , vve muſt then beginne
from belovv the legge, or Arme , vpvvardes,
vvhich is the moſt fartheſt, from the originall
of the Vaynes and ſupernallye endthe ſame, ro
vvitt,about the Harte, & the Liver, vyhich are
the originalls ofall Vaynes, & Arteryes, heerby
to repell the humors vvhichare inthar parte, &
to przvent that there concurre noc more vnto
thar place.

As farre forth therfore,as if that parte be rug
ged, and vnſmoothe,asis that Legge, vyhich is
farrc more thicker in the Calfe therot, then in
the lovvermoſt partes therof, vve muſt the fro
palmc,to Palmebreadthe, alittle more the half
throughe cutt the ſame, and foyvide both ſydes
c6tradictorilyc the oneto the other, & ſoc lool-
lye ſovve the ſame, by vyhich meancs the ſayed

Ligament,is made to be recurvated, and crooc-
kedlye vvounde, like a Bovye. Having therfore
ſtifflye rovyled op this foreſayed ligature , or
rovyler,yve may thervvithas ſmoothlye yvind |
& involvea Legge, vvithout makinge, therin a- |
nyc inzqvalityc,or furroyves cauling that ſyde
vvhich vvas cut of, & thE agayn ſovved, xquval-
lye toagree vvith the thineſt parte: & the vyvhol |
parte vvhich is the longeſt , to agree vvith the |
greateſt parte. Above theſe tvvo forclayed Kin-
des, & differEces of Ligamentes,vve may as yet
adde thervntoa thirde Kinde : The vvhich vve
call an attraftive LigameEt, vvhich vve may vic
vyhen vve deſire to retratte,anye bloode, nou-
riſhment,or anye other vitall Spirites into that
parte, the vyhich, the parte of it ſclfe can not
dravve, & attracte vato it, becauſe her attraQti-
ve forces are debilitated, & very much feebled,
VVe vvill ſomvyhartalſoe ſpeake of that liga-
ment, vvhich of it ſelfe is for noe vie profitable
but accidentallye cureth , throughe his conti-
nuicec of the remedyes, vvhich arc applyecd yn-
to thediſſeaſe, yvherfore vve may call it the re- |
tentive Ligament: vyherin vve muſt conſider |
thre eſpeciall thinges. Firſt in vyhat diſſeaſes it |
is commodious : Secondly on hovve manyec
faſhones,it may be compoſed, & made:"Chird-
ly, & laſtelye, hovve vve ought to vic the ſame.
Touchinge the firſt, vve ether vic the ſame,
conſideringe the parte, or the Diſſeaſe, vyhich

- — - —

— —

— —— — —

Fol 4.5%

can tollerate noe Other: Confſideringethe Dil-
leaſe,as anye vvounde, or viccrationce, accom-
panied & aſlcciated, vvith anve great payne, or
inflammatione,or vvhen vveditirc av Apoſtc-
matione to. be matured:Conlideringe the par-
te, as vvhena vyounde is in the Heade, inthe
Necke,in the Bellye,or in the Teſticles, vv hich
partes ci notindurto be ſtifflytycd, or bovynd,
& rherfore neede noe ligatione, but only to re-
tayne the remedyes therone , becauſe that the
other ſtiffe ligatuxes , bringe vvith them great
diſcommoditye.

Concerninge the ſeconde poynde : The re- -5*
tentive Ligamer, muſt have rvvo, three, or tour pat nas;
endes,accordinge to the forme, & (ituatione of
the parte vvhich vve vvoulde drefſe. Touchin:
thethirde poyn&te, that muſt be begiinne i: 1
diflcaſe,& ended on the other {yde of the tam

L

IC

10amnte
'
*

'

C

I,
F
CT.

S Of the Rules, generall Inſlruftion: , Wheron ve

muſl conſider in all Roles, Ligarues Chi P.3.
Herforeconvenicnilye, & de- Tvvo
> centlye to vvinde, or involve Eu
F anyc parte,or mCbre, vve mult juerey,
FI note , & colder on tvvo ctpe- vviiew 5
3 ciall thinges, vvherof the firſt (505-0258
| - is,the vvounded parte, vi hich c& to y vim
vve vvill vvinde:the feconde is the xgritude, or cc anye
difſeaſe. Touching therfore the diſicated parte, P***©5
vve take this fora generall Rule, that( hee mutt
be ryed, & that in ſuch a forme, & tigure,as vve
vvil have her to cotinue, & lye: For if foc be ye
vvind a foulded, & curvated parte, vyhich thcr-
after muſt be ſituared right, and extented, ther
vvillas then conſeqventlye infuec {ſuch or the
like Accidentcs:to vvitt,tharthe Ligature vyill
diſſolve, & looſen, that ther vvilbe cauicd great
payn, &dolourc in the parte, becauſe the Mul-
cles, Vaynes, Arteryes & Synnues, & the verye
bones alſoc havean other tttuatione , beinge
erected, & extended, then vvhen as they arc re-
curved,and croocked.

As in cxiple:If foe bea broken Legge, being
recuryed, & ſoc on that manner be circumliga-
ted, & yvounde vvhich ought othervyyle to be
tyed, beinge ſtretched & extended right forthe,
vvithout donbte all the Ligature vvill goc loo-
ſc, vvhen as vve aclire to extende the fame, out
of the vyhich vvill follovve great payn, becauſe
the brockE Bones, Vaynes, Arterycs, Synnucs,
& Muſcles,doe not as thT keepe the ſame place,
as they have done, the parte beinge bovynde, &
rycd.

Contrarilye, vvedefiringe to drefle a frature
inan Arme, he muſt then be { hutt, & foulded
together, for if ſoc be yve drefſe him beinge cx-
rended, yyhe as therafter he { halbe recurved &
bended,then the Bones in therre lyinge , vvith
the other partes, be turned into ſome other fat-

M hone

Fr
wa **

Example,

The Frenche Chirurgerye

hone, vvherthroughe the Ligature, vvilin one
place be looſened, & in another ſpined, vvhich
alſo ſuſcirareth payne in that parte : For it muſt
neceſfarilye folloyve, that vvhen as a ryed parte
be chaunged,and then ether ſhutt & bended,or
extended, the there arc ſome of theMulcles ex-
rended, & crul hed,as in the rotunditye, in the
abbreviatione, & others vvcackened, & ynited:
And vvhe theyarcexrected , they muit necdes
then be cruſhed throughe the Ligature,out of
the vvhich muſt neceſſarily follovve intollera-
ble payne, becauſe of the Compreſle, yyhichin
ferreth vvith it in that parte great fluxiones, &
other accidentes, & miſchaunces.

Novv for as much as cocerncth the diſſeaſc,
vve muſt circumligate, &involvean Arme or
a broken Legge vvitha vyounde, onan other
manner,and faſhon, then a Fracture vvith out
vvorde: & on an other fal hon a Legge, vvhich
hath buta ſimple VIiceratione , then a Legge,
vvhich hath a concavoulc, or Fiſtulouſe vice-
ratione: Anda loyncte vvhich is full of payne,
mutt once an other manner be tycd , then that
\vherin is noe payne.

Decitlye LTherfore covenientlyc,S decentlyetoligate

to yvind, Or vvinde,the Ligature muſt be right, & cloſe-
ly rovvled vp, becauſe vve may houlde him the
faiter, & ſtedycr in the hide , vvithour ſtirring,
orglidinge this vvay or that vvayc,as he might
chaunce todoec the ſame not being ſtiffly rovv-
led vp, becauſe that throughe his hardenes he
may the better be handled, & conduced, ſo that
all ligationes,farre cGvenienter, & more decEt
& to more contentment of the Paticnt,and the
circumſtantes, or ſtanders by may be effeed,
then other vvyſe, vyyheEas the Ligature is layed
dubble,croocked, curyed, & vnevyen.

The diſ-
ſcale,

3 Howe We ought ro tye the Ligament &
agayne make looſe the ſame.Chap.g.

> He Chyrurgiane muſt c6ſider,

Wherone 22 & note, thatther be no ſeames
oughtts; "AH KE {> Knottes,Oranye VACVennes,in
coulider SY the Ligament, vvhich might
che fa- A Bs BY chaſice to crulſ he the vvound:
ttennge CI ASErS<t2 and the Ligationealſoc being
ofthe 11- k ; x

gatures, finiſhed,conſideringe that the end of theLiga-

turc, be not faſtened, one the vvounde, nether
oneanve place vvhertheris any payne,for vn-

tyinge,thcrine vve muſt colider tvvo thinges:

—

|

—

|

les vvitha pinne, vvefaſtenit , or cls vvitha
Needle ſovvcit , it allyvayes inferrcth payne |

vvith it:vvherfore vve mult faſtE the ſaved Li- |
gature,cther higher, orlovver, or one the ſyde |

of the ſame, one the end of the royyler, & one
ſuch a place of the Ligature, vvherone the Pa-
ticnt doth not lyc,as behinde one the Heade,in

the Temples of the Heade,one the Backe, & on ||

the Buttockes, nether one the Flanckes, or Ar-

mepirtes,

And concerninge the diſſolutione', or vn- *
- LYVOG

x thin
Namelyc one the time, vvhen the Paticnt muſt CC.

be dreſlced, & one the covenience of doinge the vve mul;
lame:and heerin dilagreethe the praQtile of the _ ,
auncienteChyrurgiancs,from vs:For touching greffjng-
thedreſlſinge of vvoundes (Celfus vvilleth) that of a

vve ought not to dreſle the vvorude, but in thre YYounde
dayes once, ſuffering it tvyvo dayes'to continue ©1q,,
yvithoutdreſſing:And then vvilleth he vs, that
vvedreſlc it but once in fivedayes. And astou-

chinge the ſimple fractures , Hippocrates coun» xx.
colic vs,thatin thre dayes <c _ dreſle the cppoces
But novve adayes, vve doc not obſerve this mi-

nes,for vvedreſſe the Paticr after the firſt dre(-

ſinge 24, hovvres, vnles vve feared anye greate
fluxione of bloode, vyherfore vve ſuffercd the

Patient to lyc 16ger vvith out dreſſing, to vvirt,

tyvo, three, foure, or five dayes longe: lt is righe

truce, that vve ſometimes make looſe the liga-

met in tvvo,or threedayes once, vvithout tou-

chinge of the playſter,onlye togiveayre tothe

parte, & to note , vvhether there be nether In-
flimatione,nor any other Accident come ther

varo: But vyhen as the vvounde is come to ve-

ryc great ſuppuratio, & that ther is much mat-

ter, payne,or Inflammatione at hande , vvcas

then drefle the vvounde tvvo,or three times in

the ſpace of 24 houres, to vvitr,all cight hovve-

res once, if it be poſlible.

And touching the ſimple FraQtures, vve keep For fim-
the ſometimes, lixc, or ſcayen dayes vadrelled, Oo _
vnles that ther yvcareanye Accidentes, at hid,
butallyvayes vyctarrycaslonge as is poſlible:
for hovy little ſocver vye touch a brokE legge,
the endes of the bones, of the frafture are ne-
vertheleſſc, ſtirred, & diſlocated, & the on rub-
bed agaynit the other, vvherthroughe is cauſed
payne,and the combinatione,or together hea-
linge is hindered, becaulſc that all conglutina-
tione,can not be vvith our cotinuall coniunc-
tione of the one parte vvith the other.

The redreſſinge, or dreſſinge, muſt be done Hovyyye
one this manner:to vvitt, that vve calilye make May ger-
looſe the bande,or rovvler,novv vvith the one oy _
hande and then vvith the other looſeninge of gament,
theſame,alvvaycs houldinge the vvhole Liga-
ment inthe hande.But becauſe moſt commG6-
lye the firſt dreflinge ofthe vyvounde, cleaveth
ſocfaſt,as if vvith glevve it vvcare theron faſte-
ned, becauſe of the bloode & matter, vyhich is
therone drycd,and baked , y ve muſt firit of all
therforce, madefye, & moyſten the ſame vvith a
little vvarmed vvync,and thervvith ſoacke the
ſame becauſe the ligament may be taken, & re-

; volved therof vvithout payne, yea or clsalſoin
| the vvindinge of, of the ſame commin

n the
vvounde, vyc might ther eyeryc time cat it of,
becauſe in ſoe doing, vve might by peecemeale
takeavvay the ſame, yvithout inany ſortc hur-

tinge

WP LOSS p=UMFOAL RN

kr
lis
ſec
inf
lig

ofl aqves Gvillemeau.

tinge of the Paticnt,

3 How Wwe ſhall dreſſe the broken _Armes , hippes,
and legges. Chap.s.

L thoughe that our common
practiſe, of thedreſlinge of all
broken Legges, ſcemecth to be
alicnare,and to differ, from the
manner of doinge, of the anti-
que, & auncient profeſſors, &
compa- Chyrurgiis,it is notyvithſtanding in ſuch for-
ted, vvith re, that vye caſyly can compare them together.
= _ All the auncient phyſitions, & Chyrurgianes,
auncient have binne of opinis thatin the Fractures vve
Chyrutr- ought to vic adubble kinde of Ligament : Na-
gar melycinferiore ligamentes, vvhich they called
Hypode ſmidas, & ſuperior ligatures, vvhich they
called Hypod-ſmons : they have theſe names be-
cauſe of their lituatione, becauſe ſome of them
are tycd, and boyvnd vader & ſome agayn abo-
ve. Andas touchinge the iaferioure ligametes,
Hippocrates maketh mention of tvvo ſortes,
Tvryvoſor- VVherofthe firſt, & the ſhorteſt, beginneth
es of W- gnethe fracture, layingealvvayes the one end
_— contradiorilyc therone becauſe it f hould not
gametes. Vyholy\ye,on the place of the payn , vvhich li-
gament muſt be tyed round about the fraQture,
& then he reduced vpvvardes, vvhere heas the
endeth:This ligament muſt cloſelye be vyvoun-
de together, becauſe ſo the fluxis, vyhich might
chaiice to lincke into the difſeaſed parte, might
the better be kepttherout. The ſeconde liga-
ment, vvhich allmoſt, muſt beas longe agayne
as the firſt, is allſo begunne one the ſame man-
ncr,to vvirt,on the frafture, layinge onlye ther.
one,a turne,or tyvo, vvinding dovvnrevyardes,
to cruſhe therout the bloode vyhich might
chaunce to lincke into the fracture , vvith cir-
cumvolutios, vvhich muſt be layed a lirtrle mo-
reaparte the one fro the other, then inthe firſt
ligamenr they vveare: for vve muſt take heede
of makinge to greate expreſſiones of bloode, in
the endes of the Armes, or legges, that vvithout
imflammati6 they can not reccave much ther-
of,and the ligament being come dovyne, muſt
vvinde the ſame vpvyardes agayne, tocome a-
gayn to that place vvher yvedid beginn, becau-
ſc both theſe ligamentes might hould faſt, and
the muſcles be brought into theire naturall (i-
tuation, vvhich through the tyyvo formoſt liga-
tiones might be brought therour,

Other auncient Chyrurgianes make of this
lis ofrhe nethermolt ligature, tvvo ligationes, vvherof
ſeonde the ones the tureſt the ſeconde forthe fractu-
ligature, IcS,vvhich beginneth one the broke parte: ha-

ving therafter, made one, or tvyo circumvolu-
tionecs , then is the foreſaved ligature reduced
doyvnevvardes. The other vvhich may be the
thirde for the fratures, muſt be begunne, on

Fol.4.6

the beginning of the parte,endinge tupernaliy
vvherthefirſt ligatio is ended pailing over the
Frature:Soe that they impole therone thre li-
gationes all vvhichthree vve may call interior
ligameres. Thefirit yvhich aſcendeth from the
fracture one highe , as from the middle of the
legge tovvarde the knee. The teconde vvhich
deicEdethfrom the fracture dovvnevvardes, as
trom the middle of the legg tovvardes the too-
te. The third, vvhich from the extreamette part
of the loynQe,aſcendeth ſuperiorlye a5 (ro the
the ſoule of the foote toyvardes the knees.

But noyveadayes & foloyving our common ,

practiſe, yyhich vve vie before theſe three liga- 7"! ps
mentes, vve applyetirſt of all, one the place of itcr on
the fracture an aſtringent Plaſter, yyhich is ma- *b* fras-
de of Bolus, of floyver,or volatill meale,of vvhy-
tes of Egges,of Oylc of Roſes & of a littleTerc-
bentine, (in ſteade of Cerora Galen, vvhich the
auncier Chyrurgians vied:) After the firſt dre(”
ling vve vie the Plaſter of Dzacalcirheos, or of D;.
apalma, liquefacted in oyle of Roſes, vvith vi-
neger. The ligature novy being decttly yvond,
becauſe the legges, the hippes & the Armes,arc
chinner belovve then above they are , vve
muſt therfore one ſuch {Jendernes apply ſome
certayn copreſles becaule the forefaved ioync.
te may be in all places of an xquall craſlitude,
& thickenes, & the (plinter, vv hich muſt bema-
de of ſtiſſe paper, of lattinn,or of anv other ſub-
ſtance, be verye evenlye, & ſmooth!ye applyed
therone, & tyed vnder the inferior ligatures, or
royviers.

Theſe ſplinters muſt be three in numbre,
vvhich muſt be excavated like a gutter, vvherof
thefirſt mult be a little broader, then the other
to by applycd vnderthefrafture, & to compra-
hende all that, vvhich is belovre the fracture, &
beas it yvearea fundament, or fonndatiother-
vnto. The other ty yo one both the ſydes of the
frature, being ſomyvhatr ſeparated the one fro
the other, leaſt that in the ligatis they chaiiced
to glide the one over the other. They muſt alſo
be of fucha longitude, as the broken parte rc-
quireth,

Theſe thre forefayed ſplinres being thus im-
poſed, one the inferior rovyiers, vve muſt then app!oce-
tycthe fratture that ic may lyec falt and fteadye tone of
& the part be c6tayned in a goode quallitye & ©
difpoſione. V Vith the firlt of theſe tvvo ligatu- paruzes,
res, yve mult beginn, atthe extreameſt parte of
the membre, fro vnder vpvyrardes. The ſeconde
muſt beginn fro above & end belovy: vve muſk
allſoc note that the one of thoſe rovylers, mu (+
take his beginninge internally inthe membre,

& mult procced from the left ro the right (yde,
becauſthey may croſle the one over the other,
inſuchaformeas in the margine you may ſee,
orin forme ofa S\Andrevves Crofle, becauſe it
may be involved veryecloſelye theron,

M i} Ir (ee-

Ligame-
es for

ſhore

vyvoudes,
_ |
cruſhing
of 99 oo

Virilirye
in con(ti-
tution of

che parte,

TheFrenche Chirurgerye

It ſeemeth that Hippocrates hath vſed noe 0-
ther ligature , in the Fratures vvith vyyounde,
but that he rovvled the ſame ſomvvhat looſe.

Bur in thoſe fractures vyhith vveare ſhotr,or
vvith anye other ſuch like inſtrument, or cngi-
ne, bedone, vvherin is great crul hinge of bo-
nes, becauſe vveſhould little neede to handle
this parte, vyhich is thus broken, andcruſhed,
leaſt the acute,and ſharpe ollicles, or bones, 6
fruſtles,the vvhich in the pertraQtatione of the
fame, might chaunce to pricke the FleFhe, TE-
dones, Synnues & the Perironeum, vve muſt ther
fore vic heervnto great Copreſles, beinge foul-
ded three, or fourc on the other,and ſoc ſoyved
rogether in the midle,beinge in tyvo places cut
throughe, the compreſle beinge of the bredth
of a palme, of ones hide,or theraboute, vyhich
vve revolve the one tovvardes the other partc,
as if vvedelired tocircumligate the parte, The-
ſc, or ſuchlike Compreſles, vve muſt by lirtle
& little ſhove ynder the crul hed parte, or mE-
bre: & the ſame being immiaidityed, & impure,
and vvedeſirctolayan other therynder, vveas
then ſovve a cleane vvhite Compreſle, one the
impuredCompreſle, & as then vve dravv avvay
the impure compreſle from vnder the Fracture
& then ſubſequetly folloyveth the mundifyed,
& cleane compreile thervnder , in the ſteade of
the immundityed. I have conſtituted the defi-
guratione,oftheſe Compreſles, heere before a-
mongeſt the figures of the Inſtrumentes,in the
table of the Gloſſocomium,vvhich of Hippocrarss is
called ,Ambi,on vvhich place, & inthe forſay-
edlcafc, isdefigured vnto you, a broken legge,
vvith the Ligamentes of the ſame.

Of the —_—_ of the conſlitutione oy collocatione

of i

6 partes, one the Which the for ſayed Opera-
om muſt be effetted. Chap.s.

v4 Oc man is ignorit, hovy nece(-
J ſaryc,& requiſite thele operati-
ones arc,to the relanati6, of the
diſſeaſes, vyhervvith mis body
isdaylye, & continually oppug-

WI - ned & opreſſed:and indeed, this
operation ſhoulde in vayn be vicd,it ſo be that
not onlyec the vyhole body, butalſo the forſay-
cd diſſcaſcd partes, vvher6 vve cftcte our Ope-
ration, vyearc not therafter, conſtituted & ſitu-
ated , and vvith moſt convenicnce colloca-
red.

Therforedecentlye, & vvith moſt couveni-
ence tocollocate the ſame, the Patier muſt firſt
of all lye on his bedde, (if ſoc be at the leaſt the
magnitude,and largenes of the difſeaſc require
the ſame,)& that in ſuch a form, that the vvoſi-
dcd,or yulnerated parte, may be vyith moſt ca-

ſe, &c6veniEce collocated,as it is requiſite, for
they are not al together ſituated in one faſh6, &
manner:lt is right rrue, that there arc ſome cer-
tayne rules,asarc in the igatures, vvhich muſt
only be vicd onediſſcaſes.

Firſt of al therfore, & generally, rocollocate Tye,
& rightlye fituateal vvounded partes, vve mult ges to be
conlider thre eſpeciall thinges: to vvitt, that the <6lidered
lirnation, be Softe, Smooth & Highe: Softe, be- m—_—_—
cauſe a hard ſituatis, ſomtimes might chaunce a parte,or
todiſturbe,and irrequiate, not only the vulne- Tcmbee,
tated part, but alſothe approximate partes ther
vnto, by the vyhich mcancs great payn,inflam-
mation, & conſequentlye alſoan attrattione, &

a fluxion muſt neceſſarily follovve in that par-
te:& vvhich is more, the Patient is conſtrayned
not being able to tollerate the obdurate collo-
cati6,to caſc and yeclde ſolace to that parte, by
oftentimes turninge,and revertinge of hinſel-
te, vyhich is very vnprofitable for him, becauſe
that parte, requircth nothinge els then quietu-
-» _ beinge much diſturbed,and mole-

Even,and ſmooth, becavſc that the vneve, & Playn,&
implanitude collocation, inferreth payn & re- =
curvatiGinthe Ioyne, to vvitt, the one parte
reſting on ſomyyhat, & the other parte, depen-
dinge vvithout reſtinge one anye thinge.

On Highe, becauſe that therbye,al concurſi- Highe G-
oneof humors is przxvented, vvhich othervviſe tuatione,
through the lovy ſiruatis of the lovnte, might
be therthervvardes dravvne.

Conlidering this occaſion, have the Chyrur-
glansalvvayes cauſed the broken or vyounded
Arme to bedependently vvorne one the breſte
& the legg to be collocated on highe,to vvit ſ6-
vyhat higher then the bodye,the Paticnt lyinge
on bedde , becauſc he may nether be erected,
nor (itt,

Nether isit onlye neceſſarye that the mem- The aper.
bre,or parte be collocated ſoftlyc, ſmoothly, & on ofa
highlye, bur it isalſo requilite, (if ſoc be ther be no_
anye vvounde,or viceration, vvhich eſpecially yvayes be
is fiſtulouſe) that the apertio therof, if ſo be it is #ecurva-
poſſible, recuryare itſelfe doyynevvardes, be. M097"
cauſe that the matter , might have the liberater des ifir
a paſſage, tocenter forthat, vvithout makinge a- Þ*< polli-
ny greater c6cavityes,& doc not chaunce toin-
cece,orinflame the approximate partes, nether
to corrode them, vyyhich yvould bringe vvith ir
divers, & ſundry accidentes:& przpoſtcrate the
reſanatione of the ſame.

Secondarilye;the loynte muſt be ſituatedin The ſirw-
ſuchaforme,and fal hone, vvhichis agreinge atione of
vvith the naturalle diſpoſione of the Ioyndte, the loyne
andalicnared from all payne : vyhichtyvoob- ©
ſcrvationes , are vvell agreinge the one vvith rall,& ac-

' the other : For all faſhons vyyhich cauſe noe cuſto-

payne, thatisthe naturalle , and accuſtomed ®**-
figure , andcollocatione therof : Eucn as the
payne

, ofl aqves Gvillemeat!.

paynefull,and ynnaccuſtomed figure is agaynſt
natare, ſo that the naturall, and accuſtomed fi-
gure,or fal h6,is vvholy vvithourt payn:vyhich
happeninge, the Patient muſta longe continu-
ance keepe his loyncte in that beinge, becauſe
ſoc he ſhall feele noe, or at the leaſt verye (mall
payneatall vvhich is verye comodioule, to the
reſanation of all yvoundes, vicerati6s, Fractures
& alſo for all diſlocatiss, as it iS in like ſort pro-
fitable for all other diflcales vyhatiocver,
The auncicnte Chyrurgians, have called, this
forme of lituatione, the right and true colloca-
tione, becauſeall the Vaynes, Arteryes,Synnu-
es, & muſcles,as then are right, nether are they
extended, nether lye they recurved.
The na- Andalthoughe that the Arme have binn an-
eural ſitua gleyyyle collocated, notvvithſtiding vve cltec-
—— mc itasthen to 1lye right, becauſe thatall theto-
cient pro- iclayed partes,arc accounted to lyc right, & not
felſors,is extended,nether recurved, & that this colloca-
_ G- tion of the Arme is naturalle,as heere after vve
tuation. VVill more largclyc ſpeake of,
Andbydegrees to ſpecifye,the fituatione of
- _— each, & ſundry parte, vve vvil heere dilcribe (o-
fruacis of me of them for an example: vvheEas ther isany
any diſſe- yyounde, Apoſtemation, or diſlocation in any
Pat» Joyncte, yve muſt then vvithalldilligence note

the ſituation there of: for through a badde fitu-
atione, not onlye immediatly are cauſed many
accidentes, but after the ſanatione therof, the
loyn& ſometimes tarryeth right out extended,
vvhich ought to have binnecr9ocked, or els a-
bideth croocked yvher it oughte to be extEded
orcls combincth it ſelfe, & ioyneth vvith ſome
other thinge, vvhich ought to have binn ſepa-
rated, & ſcioynte. VVherforeitthe vvoun-
lene ob- de be in the vppermoſt parte of the ſhoulder,
ſervation vve muſt then impoſe vynderthe Armepites of
the Paticnt,a great linne balle, & hange thear-

me one the Breſt, & ſomvvhat beare, out his el-

bovve, becauſe that the heade of the arme, may

be (omvvhatelcvated, &the ſeparated partes,

may agayne be inſerted the one vvith the other
and (o much the better be cured together agay-

ne: The contrarye vyherof muſt be obſerved,if

ſoc be that in the inferior parte beanye vvoun+-

de,as vnderthe Armepittes:for the vyound be-

inge cured, & vve doe notlift vp ſomtimes, the

Arme & let him fall dovvne agayn, & ſtirre him

othery vayecs, vvithout cauſinge any payne, and

that the Arme is not helde from the Breſte, the

Paticnt therafter, becauſe of the Cicatrice (hall

not be able to lift yp his Arme becauſethrough

the ſame the Arme is grovven ſtiffe. As therof

vve haveancxample , exemplityed vnto vs of

the throte,'& in the Neckeallo of many and di-

vers, vvhich beinge vvounded, or burned, the
cicatrice hath remayned ſo obdurated, that they

ther through have cther helde their Heades, to

much onhigh orto much ſtoupinge, or higing

— __ ———W—_— __— Or OCT IE on eo nm oo

Fol.47,

backyvarde , or to much dependinge cther on
the right, or one the Lefttyde.

If ſo be that ther be an Apottemation, inthe The an-
Elbovye, orels that the fame be diſlocated, or #<\vi<

” N nYIuFc,1s

vvounded, vve muſt the fituat the Elboyve an- ,P.
gle,or cornervyyle: for ſuch aforme is very ne- rall forme
ceſlarye for the ſame, & natural, & accuſtomed w_
vnto hi:& although, the cornervvyle figure is
that yvhich maketh an accute corner, notvvith
ſtiding yve meane therbythrough the anguled
figure Pvvith the auncicnt Chyrurgians, that
vvhich hath his corner right but yer not ſo cle-
ane,and vyholy erected, but that vvhich attayg-
neth ſomvvhat toyvard the reCtitude, fo that ir
commeth ſomyvyhat bluntlye,and ſuch a figure
iSnotas yet truclyethe meanc, betyycene the
inflexione,and theextenſione, but is the ſame
vyhich yecldeth her ſelfe, tovvarde the extenti-
one: If foe be the Arme be inſerted and combi.
ned, vyith beingable to be recuryed, or cxteded
vve may yctas then better, and yvith more faci-
litye helpe him (elfe,then if he vveare vyholye
recurved,or vvholye extended.

VVe may alloc obſerve the ſame in the han- The hand
de,for yve muit keepe the fingers (hutt, & halfc mult be
bended, and if ſoc be the difſcaſe vveare in one
fingeronly, it vveare then better that the ſame
continued ether infleted, or incurved,th@ that
he vvearc ſtrayght,for the property of the han-
deis ro gripe and take houlde, the vyhich 1 hee
can not eftecte, and bringe to paſle,thcn throu-
ghe the recurvatione of the lame.

If foe be abovein the Hippe ther chaunce to The hip-
come,an Apoſtemation,or vyvoynde, vve muſt P< Tut

; id . . be ttured
then in the conſolidatinge of the ſame, obſerve
that yvhich in the f houlder vve have ſecne,, as
beinge neceſlarye to ſtirre the forelayed parte,
on divers fal hons, becauſe the hcade of the bo-
ne,doe not inſert it felfe, and grovve faſt in the
panne.
VVe obſerve inthe loyntture of the knees The leg-

the contrarye, for if ſo be,thatther be a vvoun- a m_
de,oran Apoſtemation,or cls in the finitimarte rinhas
parte,the Paticr muſt thE hould his legge righr,
vvithout havinge the heelesdrayven in tovvar-
des his buttockes,as it in divers pertons happe-
neth, and that tothe hinderance of the Patien-
res, vvhen they arecutcd,

And vve muſt dilligentlyc note, thatthe leg-
ge be collocated as right, as is poſlible, and if1o
be by chaunce it Jaye recurved , vve muſt then
asgentlelye, as is poſſible ftretche and exten- *
de the ſame agaync, othervvyle the patient be-
inge cured, might chaunce to be mutilate, and
vvithout greate indecorii,or deformity ſhould
not be able to goe, as vve have knovvene the (2
me to happe vato tyvogreat perſonages,of our
times.

Noyy as concerninge the foote, & the Toes,
they muſt allſoe be extended , and not recur-

yed,

Diſcom-

The Frenche Chirurgerye

ved, orinfleted, as vve have ſpoken of the hid,
& fingers: For if ſoc be they cotinued ſoc crooc

modirye ked, the bodyeas then ſhoulde not beable to
of having reſt, or ſtayede theron:Soe that the ſituation of

cLegge
croock cd

the Arme,is cotraryc to the Hande,tothe Leg-
ge,andro the Foote : becauſe the one muſt be
recurvede,or croocked, and the other extended
right out.

The end of the Frenche Chyrurgerye,
contayningethe manuall O-
pcrations.

eMethodicalle diſcourſe , or rebear-

ſall,of the Originalles,g+ occaſcones, Signes,& Tokens,
Accidemtes , & chaunces, Prognoſlicationes , 4
Remedjes,agaynſt the Bloodyeflixe,
or Dy ſenterye.

7A, Y all other miſerable and piri-
fulle diſſeaſes vvhich doe com
monlye vexc, and trouble the
Entralles,and runne through
W& the ſame, asis the Cholicke,
| the reſtritione,or conſtipati-
one,/leus, Lyemeria, Diarrhea Tenaſmus,the vvor-
mes, & many other ſuch like yet methincketh
the Dy ſenteria,or the Bloodye flixe, of all theſe
to be moſt intollerable,and moſt mortall: And
alſoamongſt the Commonalrye, amongſt our
Frenche Martialliſtes or vyorriours, amongſt
the Svvitſers, Countryemen, Engliſ he men, &
farther amongit all ſortes, and Kindes of vvar-
riours,it is ſoc comms, that it ſeemeth this dil-
ſcaſe,as ſoon as they are gone out of their hou-
ſes , that there nothinge clsfollovveth them,
the the { haddovy of their body, vvherthrough
in all leagers throughe this deſſcaſc at ſometi-
mes ther are more poeple deprived of their li-
ves,thcn throughe all the inquietude,through
all povertye,throughe the Plague, yea & more
alſoc then of the enimye are Killede: And tou-
chinge my opinione heerein , I rake this ſicke-
nesto be a peſtilentialle ſpirit, anda certayne
cllence of the Plague: Soc that neceſſarilye ther
vnder mult be occulted, & hidden, a ſecreate, &
incffable venoume,or poyſon, vvhich through
defilinge,andinfetione, ſpreadeth it telfe from
the one bodyec into the other, Becaule the inte-
ſtnes orentralles,of a ſovynde, and vvelfaring
man,throughe ſome inclinatione, or Sympa-
thye,are made partakers of ſuch venonmouſe
vapours , of him vyhoſc guttes are polluted

- =
_ %.

—_—

vvith this diſſeaſe, and by that meanes alſo are
imparted vvith the bloodyeflixe : As in the c6-
ſumprione yve may ſee, vvhich proccedeth out

of ſome viceratione of the Lunges, andaHoin

the Ophthalmye of the Eyes, the ſame to beas
infetiouſe,that the on body, may obtayne the

ſame ofan other: V Vhich commeth to paſle, as geafn
Ariſtotle ayeth, becauſe that the Lunges, & the of Ariſto-
Eyes,are continually e contayned in a perpetu- tle.
alle motion, vvherthrough the venoumouſnes

is the caſyer imparted to an other body: Health
beinge, asSiryycareacontinuall reſt, and an
aſlured eſtate.

Andastheentrall ſo their perpe-
tualle motione, the vvhich in Greeke vve call
Periſialtica,in like forte alſoe may they imparte
theire diſſeaſe vnro other entralles , as the eyes
vnto the eyesand theLunges doe ynto the lun-

Les.

Of the Cauſes, Signes, Accidentes, prognoſti-
cationes, and remedyes , I vvill fomvyhatdiſ-
courſe, conſideringe more the neceſlitye ther-
of, ther by toinſtrute the yonge Chyrvrgian,
the becauſe of any pleaſure, vvhich Itake ther-
in,oranyecoſtentatione.

The Dyſenteria,or bloodye flixe, is a ſangyi- Diſcripti-
nolent —_— of the Bellye , vvith —_— on of the
doloure,and as it yveare ſciſſure vvhich theLa- Soodje
tiniſtes,call Tormina : And thisdifſeaſe may be '*©
taken properlye,or improperlye.

The improper Dyſenteria,or Bloodyeflixe, is
a fluxione of bloode, vvith outany greate pay- ria Imprs
nes,or travayle, vvherof ther are tyyo ſortes, or _ a
Kindes, ether vyhen vve avoyde pure,&cleane *:
blood, vvhich yve call Sangvinolenta, & Cruenta
orelsvyhen yveavoydevncleanc bloode, and
impure.

The pure cleare bloode iflveth forth of the
Meſenterinm,vyhearcalongetimeit hath lyen
occulted, & cogregated, aSit oftentimes chaun-
ced,in thoſe yvhichare groſſe of Belly. And
ſometimes alſoc it procedeth out of the Liver,
of the Milte,of the Hemorrhodes, and ſometi-
mesalſo out of ſome great vaynes , andout of
other partes, yea and alſo out ofthe vvhole ha-
bitude of the bodye: All vyhich differ&ces, muſt
throughe their ovvne ſignes be knovvne , be-
cauſe the reſanatione of the ſame may be the
ſurer.

As for example it happeneth commonlye, Thoſe
throughe anye greate ſuperfluitye of bleeding, vvhich ,
in thoſe vyhich have loſtan Arme, oralcgge, _——_
thaton certayne times they have the bloodye aye lapu-
flixe'In vvhich kinde of cMyſenteria, vve necde Re, are
not much to eare, nethernecde yyeto vic tho- 17 1d
ſe remedyes heervnder diſcribed : But muſt tothe
| reſtraygne ſuch Paticntes, from great comeſti. Bloody
; ones,and ſuperfluouſe drinckinge of VVyne, _

; and cauſe him to be yvell phlebotomiſed:
vvherof vvein this place endeyoure to adver-
tice,

pAaD = My

FluxusHe
pAtICUS.

- Dyſente-

ria pro-

pers ta-

Signes
vwhe the
{mall

recs ate
ucts.

of laqves Gvillemeau. [

rice,and inſtructe the yonge Chyrurgiane, be-,
cauſe that vvithour making any greatdelaye, he
might be adiuvable & helpetullto the patient
vvith theſe remedyes vvhich conſequently fol-
lovve:the vvhich in paſlinge by, it ſeemed con-
venient vnto me to rehearle : Becaulc it is not
my intent,in this place, onlye to ſpeake,of thc
improper Pyſexteria, & curatione therof, but of
the truc, & proper bloodye flixe, or Dy ſenteria,
vvhich inall Leagers is common, & tamiliare,
and infectioulc.

The impure Bloodyeflixe,is the trueſt, & a(-
ſuredſt,andis aſſimilarcd vnto yvater, vvherin
nuc ſlaughtered fict he, hath binn vvaſ hed: the
yvateryc Bloodycflixe,is called Fiuxnus Heparicns,
the Liverlaſ ke, vvhich is cauſed, throughethe
imbicillitye, of the retentive torces of the liver,
through the vyhich the vitall ſpirites & the na-
turalle callidityc, doe exhalatc,& the perionne,
is vvholye bereft of all his forces & therthrou-
ghe alſo the ſtomacke is feebled, that it can nor
any more comprxhend,any meate,or drincke,
to feede one, nether digeſt the ſame, toc that by
this mcancs the yyholc bodye contumeth and
yvithereth.

The black, heavye, & thick bloodyeflixe, pro-
ceedeth eſpecially out of the Milte, vvhich is,as
it vvcarc aPoolc,or receptacte, of al mclancho-
licke,thicke, and blackebloode,

But that vyhich properly, or vprightly is cal-
led Dyſenteria,or Bloodycflixe, thatisa comm6
viccration of the entralles, out of vyhich firſt of
all the viſcoſitye of the ſame is driven, & expel-
led out, then the Axvngiouſencs therote, vvith
alittle redde blood intermingicd : Thirdly, the
internalle membrane of the inteſtines, of the
vyhich the pellicles, and the lirtle fibres are in
the ſtooles (een, thervnderto be mixcd:tinallye
the vicerrtio as yet proceeding, & more, & mo-
regrovving yvorſe,as the conſequently follo-
vvcth the carnolirye, & the yeryc lubſtance, of
the corroded, & corrupted guttes:all vvhich ki-
des,arc accopanicd, & affociatcd vviththole c6-
mon accidentes,to yvitt, vvith bitinge,or mor-
dicante payn, vvith continuall punQios, vvith
continualle concupiſcence of goinge to ſtoole,
vvith intollerabilitye, & vvith a continuall co-
motio. V Vhich foretayed Dyſenteria,or Bloo-
dycflixe,cther happencth to the ſmall entralles
or to the great inteſtines, the yvhichlvve firſt cl-
pyc out of the ſituatione of the payne, & out of
the diverſitye,and mixture of the matter,

V Vhen as therfore the vpright Bloodyeſlixc
iSin the (malle gutres, as then yve (ce blood, &
certayne membranouſe pellicles, intermixcd
vvith the excrementes, ther is alſogreat payn a-
bove on the Navle the time betyvixte the payn
& the deicCtion is flovye, and ther aflociateth
it moſt commonlye a vomitinge, and agreate
oppreiſione of the harte, and the Hick coughc,

in theentrance of the ſtomacke, throng! com-
munity vyhich the forſaved cntralles have ther
vvith:For as Galen layeth, the Harmony, & con-
| lanQione, vyhich the partes of the bodve have
| the one vvith the other, is vvondertull, & to be
' admired, becaulc as ſoone as the actione of one
parte is hindered, or iutffereth anv thinge,al the
other partes of the body doe therv\ ithe
re,andſympathile.

If foe be the ſayed yiceratio bein the greate
guttes,or cntralles, ther a$thT driveih onc ihe

COIp!

the dolour of the vvounded, or hurte cnirall es,
not ſo pungent and harp, but fomyyhat more
turde,and benumde,

acute, ſaulte,and mord!
beingeas it yvcare on the iournve, todetcende
right tothe guttes, but they come recuryatc,
| Xin form of this lettre S. as in the littatione,
| they mutt paſſe by manye recurvationes, & co-
| cavityes:yyher they cleaving faſt, tirtt of al cru -
ditye, andexcoriatc the forclayed gutics, &in
the end throughe theire acuitye corrode the (1-
me:a$1s the cholericke humiditye, the melan-
cholycke humors , and thetaulre Peruira , the
vyhichis ether ingedred internally in the cut-
tcs,or els congregate together.in other place &
arc ſoc driven that vvay, as it happeneth com-
monlyein the Peſtilentialle agues, in Caſo co/-
ligoanti, Phthiſi, Athrophia, in the Cacochimic, in

OO” ———_— -

the vyorthyeſt partes. The humors ac allo ir-
ritated, and provoacked, through cautticke and
| venoumoule medicamentes, 2s throughe the
| Coloquintida Scammonta, orthioughe che Subli-
mated poulder of a Diamante. Allo thiough

vyhichareapte vnto corruptione, orels is not
> (uthcientlyc drefled : Alloc throughe any fruj-
; Re, as by cherryes, Blackecherryes, Plumbes,
| Peatches, Coucoumbres, Milions, & tuch like,

| vvaich vvc call Hotary Fractns , vyhich more,
. throughe the contſtitutione of the avre, vvhich
; ether is to moyſtc,and pluviouſc,or raynyc,to

coulde,or ro hotr, in others through intempe-
rature,and other inordinate victitatione,or dc-
| bacchatione , by the vvhich it infeparablcive

| happenethas vvell in the VVinter, 15in the

Summer,that this difſeale of the bloodyetlixe,
aftliteth man kinde,

Iris right truc, that this diſicaſe, ofrentimes
reagneth in the Prime, or vernall time of the
yeare,ana ctpeciallyinthe Harveſt, or Autum
ne, inthe vvhich time the humors , doc moſt
impeach, & hurt vs vvith the qvallitycs. Ha-
vinge obſervedall thete thinges, vve muſt con-

diticaltc,

deiciones, or cxcrementes certayne dropy os yy. !{t
ot bloode, and tome lintle parcels of fict hc,and

The occaitone of the bloodveflizc is the ve- Ceoafu
noumoute puitlaucc and torce, Primi ot the & chile
ant humourcs, v vhich

the inflammatione,and inthe colliquation, of

lider one the quantitye and quallitye of the

6H

4 WY'e [
t 'Y ©2532 1

Cauferh

tn Woo ,

$.. 63;
CL YakliAt
-

BOY
I:
!

IVi,ort
Ms 1185
'
v - } # 4
j C « 44 'T.
to tho
= *
, _ ”
$ OO} VE

#

:

The Frenche Chirurgerye

diſſcaſe,as on the greatnes of the viceratis, and
the ſuperfluitye of bloode , and one the greate
corrolione,andone the violence of the diflca-
ſe, therbye ro iudge, vvhether the difſeaſe vvith
anve facilitye,difticulty, or impoſlibilitye may
be repelled, and cured.

V Veeſteeme thecure of the Dyſenterya to be
of more facilitye, the ſame beinge inthegreat
gutres,or inteſtines Cecum, Colon, & Rettum,the
itbcing inthe ſmalle catralles, Duodenum, Iciu-
num and Heun.,

VVetake alſo the lame to be leſſe daunger.

ouſe, in yonge perſons,andin the men, then in

They
vvhich a-
r2of moſt
ExXPCTicce
my 1ad-
g:of this
poyncte.

yonge children,and vyvocmen.

In a longevalle,orlonge continuing Dyſcn-
rerye,it isa badde {igne vyhe the appetite is de-
parted, & yet a farre more yvorlſe ligne, vvhe as
ther arc aſſociated vnto the ſame Agues,or Im-
flammationes.

As is that vvhich is cauſed, out ofanye Apo-
ſtemation, bcinge burſt out of the Liver, or of
the Milte, vvhich verye rarclyc happeneth,and
yet more rarc out of the pulmonicalle Apoſte-
mationes, vvherof the matter diſgorgeth it ſel-
fe in the left ventricle of the Harte, and ſoc into
the Artery called //orra,the rruncke, or body of
all other Arteryes, fro thence into the Vaynes
of the Meſcntery, vyhich are cxte&ded to the en-
rralles, the vvhich paſſage or vvay vve can not
then throughec imagination comprzhend,and
vyhich is very obſcure. And if ſoe be ther follo-
vvedany peculiare thinge therout, beſides the
cauſticke,and venoumoule matter it might thE
inferre fearcfull, & daungerouſe accidentes, to
the hart of the Patiet, (vvhichis the vvelſpring
oflyfe) & the onlye originall, of virall ſpirites,
vvhicharediffuſcd over the vyhole body, & are
occaſione of the atione, motione, &alloall o-
ther agilitycs of the bodye.

Theevomitis of the choloricke humors, in
the beginning of the difſeaſe,doe beare yvitnes
alſoc of the daunger follovyvinge.

The bloody flixe, vvhich is cauſed out of any

'melicholicke humors, is eſteemed to be vvith-

outanyc hope.

The convullis of ſynnucs, the Hickough, &
the parbraking,are forerunners, & as it yvcare,
cmbaſladourcs of death.

In like ſortc allſoc yyhen vve eſpye, 2 blac-
ke ſpott behinde the left care , as bigge as a
Vetche, ytherbyc is great alteratione, that allſo
isa ligne of Death , as Hippocrates vvithneſſeth
vnto vs. If ſoc be this diſſcaſe, through negligE-
cc,or through malicc,oraultcration,or by any
other meancs,came to be invetcrated, the Pati-
entas then yvill vvholye conſume, & vvexe ſo
tecblc, that vvithour great diftcultyc he ſhall
not be victor therof.
This therfor is the cauſe, or occaſis, the ſpe-
cics, & kindes of this diflealc, & the afflicted, &

opreſſed parte beinge aperte,and knovvne, vve
muſt novy proceede to the reſanatione of the
lame.

The finall end of the curatione, is cther ge -
neralle,or ſpecialle.

The generall endis ro be noted, ether on the
difleaſe, or on the Phylitione,as on both the eſ-
pecialliſt, & moſt principall perſonages, vvhich
acte and ſctr forth the Hiſtorye of this diſſcalſe.
In all the kindes of Dyſenteria, the paticnt muſt
keepe himſelfe repoſed, and quiet, becauſe all
vicerationes,delire to be quietlye kepte,andin
caſe: Notvvithſtandinge, Hippocrates in his third
boocke de Dz.ga councclleth, that vve ſhoulde
cauſe the Patient vvhich hath the bloodye flixe
tovvalke, &alloe caulc him tg ſtirre his bodye,
vyherby he meaneth, that vve ought todoe the
ſame, before the forcſayed Dyſenteria become,
& becauſe ofthe Prophylaica, therthroughe te
prevent, the procreatis ofall badde humors, &
rodefend the ſame our of the inteſtines, & cau-
ſc them to vvithdravve themſclves into other
externall partes of the bodye.

Farthermore the paticnt muſt allvvayes re-
taync his ſtoolesas longe as he poſſibly may os
can , vvithout conſtraygninge himſclfe ther-
vnto,

The Chyrurgian muſt firſt ofal conſider on
the vic of thealtringent mcdicamentes, vvhich
before repaſt, or comeſtion are vicd:for he co-

tayninge the yiandes, or cibaryes, they helpeal- mi the
aticnr

{oto the digeſti6of the ſame: but by the aſtrin-
gent thinges I'vnderſtande, & meane, vvhich a-
re realonablelye fortifyinge, and confortative,
and thoſe vyhichare helpefulle to the concoc-
tione: For it yycare the greateſt, & abſurdeſt er-
ror of the yyorlde,if ſoc be inthe firſt, & eſpeci-
allye in an vnhealthfulle bodye, to vie violent
topping &aſtringent medicameres, for it yve-
are nothingeels, the roſhutt & keepe our eni-
mye or theefe yvithin doores.

V'Vherforc his viandes, or meate & drincke, What his
muſt onlye be Diurcticke, & aſtringent & cau- HR.

Cure of

the Dy-

lcateria.

Wharaſ-

tringent
medica-

mult vi,

res,

ſingeto voyde vrine, becauſethrough the vrine kes muſt

eſpecially, all aquoſitye of the blood is evacua-
ted:bur if fo be you perceave, that the greattou-
ghenes of the acute & { harp aduſted Pzrurra, or
aquolity, vvhich is verye retardatelyc expelled
& conglutinateth vvith the gurres, or entralles,
isacaulc of the bloody flixe, vvith payn & vvith
corro(16, you muſt the vvith diſcretis vic the u-
rincexpulſors,or vrine provokig remedyes be-
cauſethroughthe vic therof, it expelleth the a-
aquoſity throgh the vvhich othervvyſe the for-
layed viſcouſe &rough Pirzita, might by chaii-
cc have binnedriven our, ſo that thervvith ir
is made more viſcouſc and tougher, then befo-
retor by hovy much the leſſe any thick viſcou-
ſe matter , hath adioyncd vnto itanye thinne
humiditye, by ſoe much itis the vvorſe. VVe

permit

be.

oflaques Gvillemeau.

permit ſome conſideringe the imbicillitye of
their ſtomackes,to vie & drincke a little aſtrin-
gent VYyne.

Farthermore vve muſt bevvare , and take
i heede, of all ſharpe, & mordicant medicamen-
yo muſt 103,25 Arſenicum, Auripigmentum, Antimonium Sal
elchevve. Gemme,& manic other ſuch like thinges, & that

becauſe of their, ro great, & ſuddayne evacuati-
ones, & becauſe they irritate & provoacke the
diſſeaſc.

Thirdlye vve muſt conſider on the Liver, &
eſpeciallye on the ſtomacke, becaule all thoſe
vyhich are afflicted vvith the bloodye flixe,can
digeſt noe viandes. The ſpecialle cad mult be
the fluxione, or the diſſeaſc it ſelfe.

The Scopus of the fluxione is, to ſtoppe, & to
diverte the concurrent humors , but vve mull
in the firſt gentlely, & calilye reſerate the ſame,
& vvith ſuch,conſideration,as before vve have
fayed, leaſt that in reſeratinge of the ſame you
increaſe the ague, the vvhich vvith reaſon, and
experience may chaunce.

Remedy- The remedyes vvhich may be taken out of
es vvhich the reaſon, arc ether externall, orinternalle.
m_o—_ The internall are,cther ſimple, or copovvn-
ofthe xe. de. Simple,as Covvemilcke,nue Egges, vvith
afon. Maſticke, or vvith Ambergreece , Poulder of
ſoyver Mulberryes , flovvers of Peatches, finc
Bolus, Terra ſigillata, confired Nuttes, Nuttmeg-
ges, beinge thervvith intermixed: Rhabarbarum
toacked in Plitine-vvater isalſoc hadde in gre-
ate eſtimatione,orin the decottione of Miro-
balanes, Syrope ofdrycd Roſes, & Iulep, of Ro-
ſes.

Amongſt the compounde Remedyes are the
Trociſkes of Diacorallum, Dialettrum , De $1040,
vvith the iuyce of Endive, of Cicoryc , & more
other.

VVe muſt alſoc content our ſelves,in this
diſſeaſe vvith ſudoriferouſe medicamenis, and
vvith caſye vomites:becauſe throughe diverli-
tyes, vve may reſcrate, & retayne the flucione,

"Chis ſubſeqvent poulder,is oftentimes vvith
great ſucceſſe adminiſtred, & vied, the vrayght
of a Crovvne, vvith the yolcke of an Eggc.

YL Boli Armen, terre ſigillate , lapidis Henatues,
ana drachmas duas, picis navalis vnczam ſemi:,Coral-
hi rub. Margaritarum elecÞ.cornu Cervi v/(1 & lott in
aqua Plantaginis,ana ſcrup.duas, Saccharireſitt vn-
ctas duas, fiat omniis pulvis ſubtilis.capiat drahmam
ſemis,vel ſcerupulos duos mane.

But ro commit noc error atall, vve ruſt be-
fore the reſeratione , or before the vie of this
poulder,adminiſteran ounce of Caſſze, by it ſel-
fe,or vvith halfe adragme ofRabarber:5r vvith
an ovvnce of the double Carholicon, viith a de-
cottione of Plantine,of Agrimonyec, Hovvers
Infaſis of of Nenufarre, vvith Tamariſcus, to therefrena-
Kubarbe. tione, or bridlinge, of this furiouſe humoure.

Or cls vvc muſt take, ageatle infuſione, or cx-

Medica-

menrtes

Admoni-
tionec.

Fol.4.93

preſſione of Rubarbe, made vvith Roſevvater
addinge thervnto ſixedragmes, or an ounce of
Catholicon. But betydes all this, vve may not re-
{crate, & reſtraygne this lal ke at the firſt, as the
common poeple ſuppoſe.

Butamongtit the externall remedyes, Phle-
botomye is ferye commodioute for the ſame
but muſt alyvayes be effected vvith Knoy vled-
ge of the cauſe, for that ſometimes is more ne-
ceſlaryethen all the other remedyes, & eipeci-
lye,vvhen as the intemperature beinge cauſed
ourofthe Liver , vrgeth vs thervnto but not
heerby to debilirate the forces & ſtregth of the
Patient, vyhich in this difſeale require to be fir-
mea, & coforted, the ſayed phlcbotomye muſt
vvith alldiſcretione be done, becauſe the Pa-
tent,throughe the deprivatione of togreate a —_

Phleboto

qrantitye of Bloode at one time, might chance vvith dif
| to be vvholye ſuperated, & overcome, and fall <9
doyynedcade ynder his packe, or burthen : For
Itisknovvn vntoall men, that the blood is the
treaſure of lyfe or the domicille, & habitatione

of the {oule: Secondly vve may not in Phlebo-
'Om1zatione be to timoroule & fearfull, for in

| place of Phleboromye, & yeeldinge ayre tothe

Vaynes,the ague chaunceth ſometimes to c6-
tinue, & increaſe alſoe, the bloode allo gettinge
nocayre,is the polluted vvith ſome ſharpenes Q
or venoumoutſnes, vvhich theratter corrodeth,
x conſumcth the entralles.
— ThePatientispraferved by his ſtrengthe,
throughe goodec nouriture,& feedinge,v vhich
iscalyc of digeſtione, & throughe theCordialle
corroboratinge medicamentes.

Amongſtthe aſtringent Medicametes,ther ,,_._ -
are thc oyles of Quinces,of Roſes, of Maſticke : —
S oyle of Mirtles, beinge intermingled vvitha
littleaſtringent poulder, in like forte ther arc
alſo conforrative Playſters, amongſt the reſt , is
the cofortative Plaſter of Vigo, vvhich vvith co-
l1deratione , muſt be vſcd, as before vve have
layed.

VVe may inthis difſeaſe alſoe vic ſome cer-
tayne fumigationes, & exliccating Lavametes.

Tholethinges vvhich are moſt bclonginge
tothe diſſeaſe,are the mundificationes and the
coſolidationes of the vlcerationes:For the mi-
difyinge ofall yicerationes is nothinge els, the
tocure,tocxticaste, & tocoſolidate the;V Vher
fore firſt ofall vyc muſt clavate the vicerationc
vvithacliſterye,and ifthe ſame be protovynde
& deepe, a little abſterge the ſame , mixinge
thervnder ſome confortative thinges, to forti-
tye,& ſtrengthen the inteſtines.

V Vheryntoas the vve may vie, mellifyed, or
Honyed-yyater, Barlye-vyater, vvith the yo!kes
ot Egges,Suger, Honye of Roſes, & vvith many
other ſuch like thinges beinge mixed thervn-
der:and if ſoe be vve as yerdetire more to mun-
difye the ſame, vve muſt then vie the decottio-

N ne of

The Frenche Chirurgerye

ne of yyhcarcn branne, & of Vetches:andif ſoc
be ther be caJidity adioyned rherfito, yve muſt
the adde thervnto Sap of Roſes, of Plantinc, or
iuyce of Night (hade,or Solajrt.
np Touchinge the coſolidatione, that is cffeted
_ Pld , throughe the providence of nature, or yvith a-
teche v1- ny incarnatinge medicamttes , vyhich vve call
Ecratios. Saycorica. V nto cololidatione are foure thinges
neceſſarye, to vvitr,the cliſteryes of Plantine,of
Hogges grafſe, and of V Villoyvleaves,vato the
vyhich vvc adde Goares ſuer, Butter, oyle of Ro
ſes, or oyle of ſvyvect Almondes, vvhervvith the

viceratios be internally annoynetcd, the pun--

Qione, & acuitye of the viceration is ſomyyhat
diminiſhed, vvhich cotinually ſoacketh theri.

VVe may alſo verye fitlye mixe theramog(t,
the ſcaled ear.h, Franckinſence , Sangvis Draco-
nis, & amongſt manye other this one incarna-
tcth very rauch,to vvitt the LachrimeThuris,but
vve muit note that all theſe Poulders, be verye
diminutlye pulverifated, leaſt that inthe vice-
rationes of the entralles, they chaunce to cor-
rode, & bite.

Cliſteryes Astonchinge the Cliſteryes, vve muſt at the

mal-02 firſt vſc, payncaſlvyagingecliſteryes,as ther are

dv 75S ,* :

fal honcs, thoſe, vvhich are made of freſhe milcke, vyher
in vve muſt contunde ſome yolckes of Egges,
oftentimes reitcratinge ofthe ſame:andthe v-
ſinge the abſterginge cliſteryes, vvhich geatle-
lye vvil purifye the inteſtines. V Ve makealſo
divers other of divers faſ hons, & formes: vvher
vnto this ſhall ſerve, for an example of one.

X. Roſar rub .Tapſibarbati , Furfuris Hordei , ana
P.j. far decottio in Latte,in colatura,ad lib.j. wel, ad
0-.1rtas tres, diſſolve olciraſ. colati, Sacchari albi a-
#45 tj .Syrupiroſar. ſiccari3 y. frat Clyſter additis

obus ovorum vitellis.

V Ve may vſethiscliſter, & reiterate the ſame
as often as vve perceavec it to be neceſlarye: but
vvhen vve muſt vic ſomeaſtringent Cliſterye,
vvhich yve may not doe, vnles that the repecca
ting humors, be cleanlye purged out, and then
vve may vſe this ſubſeqventclitterye, oranye
other ſuch like. ;

YX. Furfuris macri, pales Hordei, tapſi Barbati, Cen-
tinedie,Chamemille,C& ſummitatis Anethi,anaM j.
frat decottio in aqva Chalibeata, vel in Lacte vſtula-
10,0 pr” 1 th j.vel ad guartes rres,diſſolve ſyr:
roar. ſiccarum,vel mirtillorum 5 5 Vitellorum ovorii
iy pulveris Maſiiches, & ſang. draconis, ana iy.

at Clyſter.

4 _ alſo coſtitute, & exordinate,to this
end divers & Sundrye potiones, & Electuaryes,
alſo the Kindes of Dzacorallym,nature of a Harte
finc Bolus, ſealedearth, iuyce of Berberts , Ribes,

Us conlerve of Roles.

The Empiricke medicametes, vvhich the Mc
thodicall Phyſiciones, doe ſo diſdayne, & eſtce-
me of little vyorth, are thoſe vyvhich vvc throu-
ghe expericnce, & throughe the divturnall vic

have foyynde tobe moſt excellEt, vvhich being
vied vvith iudgemet,are not vvholye to be dil-
dayncd, ſcinge that Galen teſtifyeth, that the Phy
lition,muſt be citabliſhed one rvvo fundame-
tesor foundations, to vvitt,on the reaſon, & on
the experiece, vvherof the Reaſon is,as it vvea-
re the Soule of the ſame, vvhich meaſureth, &
ponderateth all thinges : and the Experience
the body,as a providet, tutor & Schoolmaſter,
Experi&cec teacheth vs, that the Rubarbe,on
vvhar manner ſoever vve adminiſtre the ſame,
(but cſpeciallye the infuſionetherof) is verye
commodious & profitable in this diſſeaſe, asin
like ſortealſo is the Spiritus Vitriols, vvith Roſe-
vvater, & vvithe Plantinevvater, &alſo beinge
adminiſtred yvith Cynamomevvater. Ther is a
ſugeryedulcor, or ſvvectnes, extrated out of
Leade, vvhich never deceaved the hope of the
right vyorſhipſull M® Duion, vvhichisa veryc
experte, & lcarned Phyſition, & vvherof I have
attayned the beſt, of this diſcours. The Tinure
of Cora!le,and of yclloyve Ambre, extractede
vvith_Aquavmiteis in his operation admirable,
alſo CrocusMartis, Fles ſulfuris being adminiſtred
vvith c6lerves of the berrycs of the Cornus, C6-
ſerve of Roſes, Marmalade, Citronpeclinges,
vvith manye other ſuch like thinges, areallto-
gether verye commodiouſe. Becauſcamongſt
naturall thinges, I knovv nothing that exſicca-
tethmore, & oppugneth it ſelfe more agaynſt
all corruptiones : And roconclude therare an
innumerable ſortes of remedyes , vvhich vve
muſtſo compounde, that they may have one
ſimilitude,orone Analogye vvith the difſeaſlc.
Firallye,vve muſt inan extreame Dyſenteria,
for the laſt remedye,cndevoure to mitigate the
payne, vvith Narcoticall thinges,as is the Oleum
Iuſquiami, Mandragora,the could ſeedes, the Phi-
lontum. Requires Nicolas, & manye othes ſuch like
compolitiones, vvhich are vnto this diſſcale v-
ſed, &vvhich may not be adminiſtred thE yvith
great iudgment and advice had therone.

The cnd of this Treatiſe of the Dy ſenteria,
or Bloodyecflixc.

eAn Apologye , for the Chirurgians,
Wher throughe ts apparantlye , & evidentlye demon-

fronds ſhoved, Which be the occaſions,or _ of
death,n droers& ſundry, wounded Per ſons,although
not With ſtandinge,their Wwoundes Wweare ſmalle:
by tht Chyrurgians may be liberated, & excuſed,
ge Ok , & ſclaunders Wher With

falſely they are accuſed, & reproched.
: | Ac common diſcourſes of Chyrurgery,

are novveadayesfarre more meane, &

dle, more fabulouſe, & vncertayne, thE
the Natvityes of the Goddes, the —_—
c

Monſft.

Duion an

Fn

HH £A A a« _ =

oflaqves Gvillemeau. :

the Giantes or the dofrines of the Philoſophi-
call ſtone yea & a thouſand other phantaſticall
Thet is ſommariones, & dreames.
bur one There is novvadaycsinall Fraunce,but one
Chow Expert Chyrurgiane , vvhomeecverye poten-
— tate andgreat Lorde,cndeyoureth to retayn by
taunceee them, yyherthrough they are vvont to ſay I ha-
vethe beſt &experteſt Chyrurgian vvhich is li-
ving, vvherfore they alſo laude, & extoll him, to
havea million of knackes yyhich vveare never
before herde,or knovyne. Theone boaſterth
that his Chyrurgii,in a verye ſhorte time, hath
cured one vyhich hath binn ſhort clean throu-
ghe his head althoughe the very ſubſtice of the
Braynes,iffucd therour:the other ſtedtattlye at-
fictions, firmeth, that his Chyrurgiane, hath agayn im-
& Lycs. poſed the Eyc ofa man, vvhich fro the earth he
tooke vp, vvithout beinge deprived of his light
in that Eye, or els that he cut ofa pecce of ones
Liver,or Milte, & yet hath preſerved the life of
the man. Farthermore an other vvill bouldlye
periure himſelfe, & ſay,thart they are but nuga-
tiones, & Childrens play for his Chyrurgian ro
care,a harquebouſhed, or hotten vvounde of
the Harte,the Liver,the Milte, the Blather , and
the ſtomacke , and the Inteſtins and of the
great yaynes, yea & is noe more moleſted ther-
yvith, th& vvcare the Sould iours of Iulius Cz-
ſar, vyhich never interrogated hovy forcible, &
ſtrong theire enimies vveare, but vyheare they
yvcare: nether one vyhat place of the Cirye the
breach vvas bartered but vvhether ideed it vve
are {hott or not. So that novvadayes, the Chy-
rurgianesalſodoe not anye more al ke, nethet
doc any more endevoure,to knovyv the nature,
the conditis, the neceſſity, the vie,or the vvor-
thines,or cxccllencye of the vvounded partes,
but aſ ke only vyhether the man be vvouded, &
althoughe all the oflicles of his Legge , vveare
cruſhed, yet vvithi the ſpace of 14.dayes, at the
fartheſt, vvith theire vvater of ſhotre vvoundes
they are able tocure them, although I my ſelfe
doe not diſdayne the ſame, the ſame beinge ad
miniſtred, & vſed vvithdiſcretron. And breefly
to coclude cach lord ſappoſeth that he hath by
him an Hippocrates , an Elculapins , 2 Podalirus,a
CMachaon.

Out of vyhich ignorice, & perſuaſion,as not
to knovve,yvhat vvoundesare mortalle or cu-
rable, vvhat vyoſides are little, or greate, vyhich
arc of an caſy,or difficulre reſanation,thermuſt
then neceſſarilyc heerour folloyve, that vvhEas
any body ſcemeth to be little hurt & dyeth vn-
der the hides ofa moſt expert Chyrurgii cther
becauſe of the greatnes of the yyound, throu
any vahealthfullnes of the bodye, through any
concurſione of humours, or cls becauſe of any
vnexpettedaccidentes, heis then vvithout all
compaſſlione, blamed, diſdayned and diffamed,
notyvithſtandinge all his greate paynes or dit

Fol.50,

ligence,accordinge tothe arte he in curinge of

| the forclayed Patient hath done & that, becauſc

they are ignorant of the cautcs of his deathe, &
allvvayes perſuade them{clves, that if the PatiTr |
had binne in handes of theire Chyrurgiane, he A T0oIn8
vvithourt al doubte had not dyed,although thas
theire Chyrurgian, have experimented & tried
little or nothingeatalland is vvholy incxper-
teſothat by continuance of time vve finde the
todoe,or vyorck noc more miracles the a com
mon or lay man, andalto vvith noc more cer-
tayntye,doQrine, nor experience and oftenti-
mesin their praQiiſe, beinge attheire vvirtes, or
councels end;areconſtrayncd to luc for ſuccou
re, &ayde of their companions , or partakers.
Becauſe therfore that in conſequente times
heetafter,theſc felloyves, ſhould not vndeler-
vedlye reape ſuch honoure , & the aunciente
Chyrurgianes might liberate, & frec thelclves
from all calumnes, & of beinge ignorit vvhich
is layedto their charge, andto requite , and re-
ſolve the opinions of thoſe mighty,and po: c-
tat Lordes vvith reaſon, becaute therafter they
doe no more blame, and ſclaunder the Chyrur
giancs, vill heere breeflye recite, the occati- 55-4
ons of Death, cauſinge them playnlyc,and cyi- vvoundes
dently,ro vnderſtidethat ther are ſome yvhich *<<!'<c-
ofa vvoiid, vyyhich vve eſtecme to be but ſmall, ER A
and of little regarde, doe notvvithſtanding dye, vvhich in
& yet of expert, & learnede men the ſame yyas &*<<c 212
elteemed, and accounted for a perilloute vyo- , ws
unde. And contrarilye, ſome are cured of great ous. ©
vroundes , vvhich indecde vve cltceme ro be
but ſmalle , and of little regarde , and vvhich
vvith all facilitye may be cured. Notvvith- They can
ſtandinge bcinge impoſlible for the Chyrur- © cure
gianc, hovv crudite, & experte,ſoever he be,to ©
cure all men,althoughe at ſometimes they be
vyoundede vvith verye ſmalle yyoundes. ob
Novy therfore to returne to our diſcourſe, 3",
vve muſt firſt of all knovve,that to curca vvo 16008 p=y
undede parte, & toreſtore agayne that perſon- {inatione
into his former, & accuſtomcd cſtate of health rod.
thervntoare many thinges required, vvhich 1 *
hcere normallye , & rightlye yvill proſecute.
Firſt of all ther is the integrity, force, & vigo:c
of the vulneratede, & hurte parte, or membre: -
As evidentlye doe demonſtrat vato vs,the auc-
thoritye, reaſone, andexperience:For accordig
tothe opinione, and ſentence, of divine Hppo-
crates, It is nature vyhich curcth all ficknetles,
and difleaſes ſet.5.Epid.s.
The vvounded partesarc infeebled, ether c6-
ſidering the nature of their firſt conformation
or throughe any accidentes,chauncinge to the
diſſeaſe,or els becauſe of any hurtes, or ſhottes
vvhich happen vnto the ſame:vve may throu-
ghe their nature knoyve the vyhen as the head
isto little, foras then it is yvhole inconvenict:
Orelstogroſle and lo yaſte, and pondcrouſe,
N 4p that

_—=— <> vt do vari WS. -
:

yuan oo —

TheFrenche Chrrurgerye

that becaus of the diſſeaſc, the patiEtis not able
ro bcare yp the ſame right on his ſhoulders:
If ſo be it be perfeRlye, and completly rounde
for in ſuch a Heade is ether vvanting, the ante-
Atecade rjourc,or the poſtcrioure ſuture,or both of the
ly fo Fenced together vyhich are the ſuſpiracles, through the
vvhich nature diſburſcth her ſclſe, ofall ſuper-
Aluiryes, vvhich beinge therin contaynede,they
retardate the curatione of the yvounde, Andit
it ſoc chaunced, that the Hcade of your yyoun-
ded, vveare indecently formed, the vyound ſee-
minge to be ſmall, (allthough indeede noe Ca-
pitalle yyoundesare to be cſtecmed ſmalle)and
the curation therof be tardife, and the Paticntc
chauncetodye therof, vve ought notas then in
anye ſorte toattribute the faulte ynto the Chy-
rurgiane but to the badde formatione of that
parte vyhich is hurte, or vyounded.

VVe mutſtalſoc vaderſtande the ſame of the
Breaſte,vvhich being anguſte, & ſtrifte, ſuffici-
cntly demonſtrateth vato vs, that the harte and
the naturall calor of the ſame are very feeble be
cauſe the domicille of the harte, & the Liges is
roanguſtlye formed: vvhich might be the cauſe
that ifany body, being vvoundedin ſuchanan-
guſt & {trite breaſte, ſhall vvith great difficul-
ty reccave agayn his health, becauſe the natural
calidiryc,bcingin thelc partes feeble, & liguide
ſhall not beable to ſurmount the Accidentes
vyhich ordinarilyc happen vnto ſuch partes,as
difficulty of reſpirati6, through the oppreſſion
of the effuded blood in that part, vyhich ci not
be digeſted, nor expelled, ether by the Mouthe,
or through the vvoid, & that for vvante of na-
turall caloure, vvhich comonly in ſucha ſtricte

Abadde & anguſte Breaſtis very ſmalle. Thelike may
formed alſo be ſaycd of the Back, & of the Spina Doyſcor
of Backebone, vvhich being ſ6vvhat to log as tho-
nc ſe vyhich cotumeliouſlye, &diridingly vvecall
Elevenribbes, becauſe they have ſuch hugeand
.. _ vVaſtelong ſydes vyherof yve nccede notdoubr,
"</ burtthatſucha Back or Backebone,is farre mo-
) » redebilethen others, &therfore more apte,and
prone to reccave anye vnnaturall humiditye,
vyherforallſoin ſuch vvoſides there happt gre-
at fluxios betyveen the Muſcles, & the 1 kinn &
betvvixte the diſtices of the ſame, becaus of the
great quitity of excremetes, vvhich havetheire
accourle out of the Braynes, & other partes of
the body, vyyherby, betvveTthe Muſcles & the di
ſtices of the ſame, there ſincke manyeſuperfiu-
ous humors, vvhich by conſequece of time are
chaiged into ſome venoumoule humiditye, &
matter,through the vvhich vveare ſotimes c6-
ſtrayned,to make ſome great apertione, vvhich
requirealong continuance of time tothe mii-
difyinge therof, & yvholy to be cured, yea & (6-
timesalſoaulter & chaiig into fiſtles, becaus of
the tendernes & ſoftenes of the part, vvhich ci
not be ſhut, nether through ligamentes reſera-

-_

—
——————

ted,or c6preſſede,asan arme or legg, Hippocrates
hath obſerved, & noted that beryyixec feeble, & Ay a
diſcaſed fleſhe ther alyvayesdeſcedeth& ſicketh tence,
a yvaterif he humudity , vyhich calily can cor- =
rupt. The ſmall,thinne, & Hera faſhoned hip- Hippe
pes & legges, vvherof vve commonlye ſay they = baddly
goc one V Yayghtes, & are vnder, andabove all formede
moſt of zquall craſlititude and thicknes,cotra-
ry to thoſe yvhich vve ſaye,to be hipped, & leg-+
ged, or have a payere of goode, & ſtedfaſt ſtiltes
vnder thE, vvhich are vvel proportioned, yyher
of daylyc experience teacheth vs, & that to our
greate ggeefe, and ſorrovve, that ſuch perſons,
ether being vvoſided in hippes, in the legges or
in the feetce, arc ſubiee ynto many, and divers
accidentes, & the yyoundes alſoe difficult to be
cured & miidifycd,in the vyhich oftetimcsabo
ve the ordinary fluxi6s therin engEdreth prou- TERS
de fleſhe:& novve being as it yycare almoſt re- 74 -- "_
adyc to be Cicatrizede, can very difficultely be difficulre
brought thervato, & being cicatrized, through |
anye ſmall occaſion burſteth open agayn. And
if ſo be the bones be offended, or brokE,as then
the Ioyn&te moſt commonlyeconſumeth, and
vvithereth & the health very retardately can be
agayne reſtored,
Novv all this vvhich hath binn ſayed,is ſuffi-
cicntlye knovvne, vvith all the diſcaſcs of all o- on va
ther partes. But yve muſt generallye note, that aſſured
the moſt aſſuredſt ligne, of the imbicilitye of a- Lgne of
nyc parte, chaunceth through, the yntemperat- —_—
nes,and badde formatis of the ſame: for if ſobe any part
thatthe Temperamente, had binne goode, and
by conſcquence,the formative virtuc had binn
ſtronge, 1heſhouldas then exaQlye have for-
med that parte:for by the operation is the ope-
rator therofknovyne. V Vherfore Ar:/forle is of
opinion,thatthe incomplete creation, hath her
deformity,through the vyante of the frigide, &
could nature,and the imbicillity ofthe Sperma;
forcycnas vve icc,thatthe Mechanfcall opera- > ——
tours,or handyecraftes men,can not makeany *
peece of yyorke ſo perfect, & ſo ncate, of a badd
peece of ſtuffe as, they might vyell & caſily doc,
of a good, and apt and trattable pecce of ſtuffe,
vvhich is not ſpoyled, nor corrupted.
All vvhich is beforcapprovede by the thirde
rule, ſe&.1.of the lixte Epidemiors Hippocratis, &
founded, on an excellet Arioma in the comme-
taries of GalF, yyherc be ſaycth, Imbicilla membra
multum pravumque excrementum colligere conſueve-
runt.
Such a congregati6, & excreſcence of venoi-
ous excrementes vyhich chaunce to congr
te themſelves together in ſuch deformed partes Suffoca-
doc drounde, choacke, & oftentimes corrupte Goof the
the naturalle caloure, firſt of all of the diſcaſed caligity-
parte, and then of the vyhole bodye, after the
vyhich muſt neccflarilye folloyve death, vvith |
out the Chyrurgiane bcingableto —
c

#wU. Arw amw«a as ADJ Xa a

ket Mr AKA rt i# ea Ai Atv ac.

oflaquesGvillemeau.

ſame or vvith any zquityc might therof be bla-
med although notvvithſtanding oftEtimes the
Princes & great Lordes, vyhich of theſe matters
have (malle knovviedge, vvithour occali6 doe
blame, & reproache theire Chyrurgians: yea &
ſome timesalſoaccuſe them , & require of the
magiſtrate to have puniſhed, & themſelves alſo
Accidet> yndeſervedlye puniſhetheire Chyrurgians.
——_ Touching the accid&talle imbicillity, vvhich
7” hath binnefromthe beginning of the firſt cre-
ation, it is certayn, thatas vve have ſayed of the
momorſions, or Bittes,cyenſoin like forte vve
may laye of the diſeaſes, that the firſt are verye
nocent, vnto the laſt: For 2ue non poſſunt ſmngula,
wulta nocem: & a little therafter, Gutta cavat lapt-
dem,non v4, ſed ſepe cadendo.V Vedoe not throu-
ghe ſicknes amende, & the pitcher gocth ſo of-
ten to the vyell , till thatin the end he returne
broken home agayne. Foralldiſcaſcsare of (0
venoumous a nature thatalthough they are cle
anecured, yet they relinquiſhe ſome badde re-
liques in the parte, vvherthrough they may the
eaſyer returnce agayne, vvherfore of our Divine
o- Hippoerares it is called Philoſtrophes, vvhich ſigni-
folloyvin fycth, noc return agayn or at the leaſt, ſuch par-
the 0- tesarcas then moit ſubicted ro reccave _
er 5YC- | \ediſcaſc: alſo the ſayed Hippocrates ſayeth far-
TE ther, in his Booke of a diſcaſes, that all
zgritudes, yvhich follovy any other diſcaſe, are
allvyvayes moſt comonlye morrall: becauſe ſhee
findcth the naturall forces debilitated : vyhich
vve allſoc muſt ynderſtande.of the vyoundes,
vyhich are reccaved inanye partes of the body,
vyhich beforc have once binn vvounded. The-
An agu® ſe diſpoſitiones are of oure Phyſiciones called
beinR ©” Djarh darc eſtcemedto have great forces
ted com- Diatheſes and arc great ,
moulye for the gencratipne of diſeaſes or for an incura-
leavethan ble confirmation of the ſame:In like ſorteallſo
c—__— relinqueſheth an Empirema after her, vvher by
her, that Perſonne is made more ſubicte to reccave
more agues, & that in ſuch a ſorte as a hott ove,
yyhich hath once binne heated, is more apte a-
gayn to reccave the heat:as in exaple,ther be a-
ny on yyhich hath once binn vvounded,agayn
being vyounded, & eſpeciallye in the fame pla-
ce, vyher before he vyas vvolided it is impoſli-
ble that the ſayed parte ſhoulde have, the ſame
force, virtue,or vigour, to repugmeand to reſi-
ſte for the curatio vvhich before { hee hath had-
de, before ever ſhee vvas vyvounded:and that in
ſuch ſorte as in a Corſclet or harnas, vyherone
hath binne a ſhott,and having gotten a cruſhe,
or bendinge in,allthoughe the ſame be beaten,
and mallcated ſmothe agaync, yet it yvill never
be beats ſo ſmoothe, nether ſo playne & ſtrong
as it vyas beforc it hadde the ſ hott, Nethercan
can I heer prztermir,to recite tholc yvhich ha-
ve itcneratcd, and travelled throughe the Suda-
torye regione, and paſſede,throughe the drive
ling, or {[putaminoute climate, & beinge agayn

—

Fol.sr

ready to travell the ſame vvar, being greyoul-

lye vvounded, vyher there is one vvhich is ſafe-

lye returned from the journye vvith good for-

tunc,there are three, yea & tourc yvhich by the

vvay doc faynte and ſodye: vyherfor as the vve

admire, vvhy they arc not curcd, or yyhyec their

relanation is ſo tardite, not contidering that'the

vvounded yyas halte betore corrupted , & that T1 -

his humors have vyholy binne aultcred throu- rin? "—__

ghe the venoumouſn*- of the foreſayed diſca- vvhich

le: or havinge binne cured therof, have as yet _—_ Danth

retayned any aulterationc in the Liver,or in a- _ | _ "

nyc other internalle partes , vvhich gathercth climate

continuallye many venoumous cxcrementes, ©*1.v<'v©

, ! . - diftcult-

vyhich the foreſayed parte vvithout anve ce(- ly be cu-

lation,diſchargeth into the vyounded parte, rc4.
And ſoc moiſt commonlye the occatione of Glutrony

death commeth throughe the inordinate ſtate isthe oc-

of life, in catinge, anddrinckinge vvithout ob- calionof

ſervingeanye rule of vititation, hau ntinge al- =Y X

ſoof vvocmen,and not ſuffering themiclves to :

be handled, of the handes of the Chyrurgian, as

the cauſe requireth,it be etherin tenting of the

vvounde, by inſcilione, by cautcriſatian, & by

keepinge himlſelfe quict yyhich all aunciente

Chyrurgians ſo highly and exatlye commaii- x. 77

de,tothe furtherice of the curatio of the yyoi- goods for

de, folloyvinge the ſayinges of Celſas , that Opri.. 7 vvoun-

mum Medicamentum quies,C abſlinentia,is : Soc _

that Iam intended , as ofa thinge thatis of all

men knoyvne,not much in this place to ſpeake

therofalthoughe notvvithſtanding, it is often «

timesthe occalione of death, hovy lightly ſoc-

ver they be vyounded: yeaallſocand of greate

vyoundes, beingclcanc out of daunger throu-

ghe theire inordinate manner of lyfe, eſpecial-

lye in catinge,anddrinckinge, docagayne fall

therin, and come toa farre more vyorie cftare

then ever before they vyecare, yea and ſometi-

mesallſoe dye therof : for itis moſt certayne

that.

More ther are Which of Gluttonye dye heeve,
Then of bla ves,or ſhortes to death come neeve.

So that vve vvill novve, handle, or treate, CEASE
of the times of the yeare. There is nothig more TI
manifeſt, then that many vyounded perſonnes of the
might of theire yvoundes be cured, if foe be the Ye
timeof the year, vycare ſuch,as it vveare requi-
ſiteit ſhould, that is, if ſoc be tlic foure ſcaſons
of the yeare, reſcrved their naturall temperatu-
re & quallity:Itis alſo apparent that the intem-
perature of the ayr,thedifordre ofthe time,'the
a(trolicalle venoume, & other funcſtall influ-
ences, doe make the yyoundes incurable , or
els veryedithiculte to be cured, andchaungeth
the habitude,and complexione of men, throu-

' ghe the chaunginge of the time, & through the

Aſtronomicall conſtellation, yyhich over ys is
przdo-

TheFrenche Chrrurgerye

przdominating. As if ſo be the vyinter,vvhich
The icre.. 2ughtindeede to be coulde, vyeare vvarme, &
latede the ſummer vvhich ought to be vvarm, is coul-
ſeaſon of de: Alſo vvhen it is novy hotr,thE could;, novy
bn <a wr drye,thE moyſte, vvithout the time of the yeare
our bo- Tequiringe the ſame to be othervvyſe then he
dyes, oughtto be: yyhoe cidoubte therof but the (a-
' me muſt be preiudiciall,ro the vvolided patiEr?
becauſe our bodyes, heere bye reccave mervay-
louſe, & ſuddayne alterations & chaunginges,
vvherthrough our vitall ſpirites, & humors,arc
vvondrouſlye, & vvith great daungeraultered,
obſcrvinge the ſayinge of Hippoerazes, vvhich a»
voucheth that all repentine & ſubite permuta-
An tio, hovyy ſocver the ſame may beare vato our
tine & bodyes very preiudicialle. The divrnalle expe-
ſuddayne riencedem6ſtrateth the ſame vnto vs, forifſo
chaunge be in the yvinter, in ſtede of adryecoulde yvin-
ST de,there reſpirea ſouthvveſt vvind, vvith vvar-
miſheſhovyvres of rayne, ther then comonlye
follovye greate corruptiones in our humors,
vVherthroughe the vvoundes doe putrifye,and
gangrznize. The infetedayre, mayalſobean
occalion,of the death of manye vvounded per-
ſons, hoby little ſocver they [6timesare vvoun-
ded : becauſe vvithout ayre vve can not Live,
Wecm Vyhichallyvayes ſuchasitisvve mult receave,
not live & thatnot6ly through the mouth, & through
yvichout a1] the conductes of our bodye, & porolityes of
Ye ourſkinne, & through our Arteryes, vvhich a-
re ſituated vnder the poroſityes of our kinne,
fro vvhence the forcſayed ayre doth dravve to-
vvardesour Lunges, ſovyhat tocool the harte,
& refreſhe it & beas it vyeare a nouriture vnto
the ſame , fro vyhence the ſaycd ayeris farther
ſpreade & devided throughe our yyhole bodye,
yvherby irthEchaunceth, that if ſo be the ſame
be corrupted, & infeted, conſequently alſothe
foreſayed Harte, vvith ſome other of the noble
& yvorthicſt partesare polluted, in ſteade of be
inge preſerved, & mayntayned,in theireforme
The ma. & virtuc.Galenin the ninth of his Methodes,at-
lignance tributeth ſo much tothe ayr,that he ſayeth that
—_ |- theeſpecialliſt, & principaliſt demonſtratis to
the hares, +8 anycdiſſeaſe, muſt be obſerved our of the
«yre: becaule vve ci in noe forte, bevvantingor
miſſinge the communitye, and vſc therof.
Beſydes al theſe occaſliones,there are yet cer-
rayne times of the yeare , vyhich arc irreprehE-
dable, & yetcleanecontrarye to certayn diſſca-
ſes:for yyhoc is he that doubteth that the{ſtarre
Canicula doth notdiſturbe the yvynes, & caulſe-

be the the ſameto boyle , vvhere he lyethin the
doggeda- ſellers? as by cxperictce vve finde & in Pl;mo yve
yes. _ may reade,thatthe ſamealſo cauſcth our blood
Lib to boyle vvithin our vaynes,that (6times there

Chap 18. follovveth ſuch a ſuperfluous ſangvinati6,that
by noe meanes it can be reſtaygned , by the
vvhich meanesthe ſame alſo floyveth rovyard
the yvoundecd parte, vyhich betore vvas tormeE-

— —A

red vvith ſufficient payne enoughe. In like ſor-

te alſo vve perceave the Autumne, or Hurveſt Au-

to bean enimye toall vyyoundes of trheLunges, pr wag

as is appareEt by the 10.rule,the 3. of theApho. to all pul-

riſmes, becavſe they oftentimes chaunge into Monicall

fiſtles orinto peQtorall Apoſtemationes. The —
netrablecouldeis allſoe a force enimyeto all

vvoiides in the Heade, Aphor. 3 .lib. 5 . Farther-

more Hippocrates diſſuadeth vs, Lib.de acre, aquis vy

& lecisto adminiſter any phyſicke vatothe pa- —_—_ —_

tienteSin the greate conſtellation of the ſtarres purge in

vnder the So{//icium, nor vader the E£quinoGi. *®e dogg

alles, becauſe of the greate perturbations, & al- **7*

terations, vyhich as then arc in our bodyes, by

the vyhich meanes the vvoundes as the are far.

re moremoleſtious & mortalle:vvhich muſtal

{ſo be vnderſtode of the greate yyyndes & thun.

deringes, the effeftes vvherof are ſo admirable,

& tirrible,in inanimate thinges, vvhetbye yye

may the leſſeadmireat the greatealterationes,

vyhich they doe cauſc in the vvoundes, & difle-

aſes of mens bodyes , vvhich bodycis the moſt

ſenſibleſt, and the moſt dilicateſt, amongſt all

the animate bodyes.

Beſydes this vvec have ſpoken of the times &
ſayſons of the yeare, vve may alſo adde heeriito nm
that the Carpenters, & the Architeors,doe al- vation. ”
ſoc obſerve a choyle of the fellede, & cur doyy-
ne yvoode, yyhich at this time, or at that ſayſo-
ne of the moone hath binne felled: eſteeminge
the vvoode,to be more moyſte, & replete vvith
vyormes, & more ſubicteto corruptis, yvhich
isfelled in the ful Moone, & that more durable
yea & all moſtincorruptible,vvhich is felled in The ina«
the decreace of the Moone , as in Palladio yve nimate
may reade,in his Treatiſe of Ianuary, & Nove- yn, eff
bre, Celaralſo ſayeth the ſame,in his commen- the effec-
taryes,on Arat:that the Moone hath nor onlye '*5 of the
povver over that vvhich hath receaved (Eſibili- —_—
tye, burthatalſoc the ſtones, the bones, and the
V Voodedoe perccave the effeftes of the Moo-
ne, vvhich being of the MoGinfefed, vvexeth
full of vyormes: yvherfor the common phraiſe
of the Lavvyers,or luriſtes isas yet obſerved,de
Lienis ſua Luna cef1s: : vvhich being ſoc vyherfo-
reſhoulde not vvealſoeſteemea vvounde, to
be more moyſte in a fulle Moone, & more ſub-
ieted to putrefaftione, then in the decreace of
the Moone, ſeinge that man is tender of fleſhe
& farre more ſubieted vnder the domination,

& ſubictioneof the Moone, & the influences Man ;
therof, then thoſe thinges, vvhich arc inanima- ſubieQe
te & have nether life, nor ſenſation : Aboveall vnto all
theſe prxcedente, reaſons, and experiences it is Pvcn-
manifeſt, & a comms axiome, that all terreſtri-

alle corps,arce ruled, & governed by the czleſti-

all, or ſupernall influences.

Through all vvhich foreſayed occaſions,the
humors oftentimes being ſo corrupted, & pol-
luted,after death ther are certayn apoſtemati6s

found

\
I
a
F

Corrodin

matter
ja
man
acciden-
ics ,

oflaques Gvillemeau.

foure in divers places of the body, yea & ſomti-
mesalllo , in ſome of the vvyorthyeſt partes of
the body, as in the Liver, in the Braynes,in the
Milte,in the Lunges,or inanyioynctes, accor-
dinge vnato the imbicillitye of any of the partes
of the body, vvhich have binne debile,& aptto
receaveſuch impurity of the bodye, vyhich be-
ingethervvith, out of all meaſure charged, ex-
pellethe fro him rhe forſayed impure humors,
in anye of the ſayed feeble partes, vvhich ther-
after is chaiiged into purulEt matter,the yvhich
there poſleſlinge more place, & makinge more
concavitye,the is requiſite, doe expell tro them
certayne fzxtide & venoumous vapours, & par-
ticipate the'ſame vntoall the other vvorthieſt
partes,out of the vvhich inſueth, Inquietude,
Agues, Convullios,or Spaſmus, Phreneſye &in
the end neceſſarily mult tollovve death perce-
aving the yvoiides to vyaxe blacke & dry, vvith-
out being able to iudge therof,or to knovvethe
occalio, vvherofthis might proceed, notvvith-
ſiding hovv erudite, & experte foever the Chy
rurgii be, nether being poſlible for him hovve
(mall ſoever the vvounde be to fave the PatiCr,
havig noc ſigne vyherbye he may knovv, vyyhe-
ther that venoumouſe matter, hath implanted
it ſelic in any of che ſayed yyorthyelt partes, or
not. Ncther.
Can the phyſicione cure all tho fe
Which are incurable, and Without repoſe,

Let vs therfore novyv conſider, & ſerche our
the pecvliare,coſtituti6s of the vvounded: fo-
me ther are vvhich have little blood, tovvardes
the reſanatis of their vvoundes:others have to
much vyhich notvvithſtiding, is nether to the
curation goode cnoughe, nor pure enoughe,

Hippocrates ſpeakinge of thoſe vvhich have to
little bloode,in the 24.rule of the fourthe (eti-
on,in the (ixt Epid:ſayeth that thoſe vvhich ha-
ve theire entralls hott, &as it vveare burninge,
theire fleſhe could & have binn badlye nouril-
hed, vvhich commonly vve call vahealth/ame
poeple, vvho having receavedin thcire bodyes
ſome great vvoiid, ate moſt comonly alyvayes
very ditficulte to be cured, for vvant of matreri-
alles:vvhich alſo vve may ſeeto be in aged per-
ſons, vyhE as they areany vvhear vvounded, or
by chaunce breake their legges. V Ve haveallo
an excellentrulein Hippocrare vvhich is, the 6.

—

——_—

Aphoriſme, ofthe ſixte ſeQtione vvhere he ſay- |
cth Hydropicorwmn, & lentiginorum on other pla-

ces he addethe therfito Yicera non facile ſanantur:
of thoſe vvhich arc troubled vvith the Dropſy,
becauſc theire bloode is to cleere, & vvarteriſhe:
of the lentigiaouſe, becauſe theire bloode is to
ſharpe,or tarte, & for that occalione can make
noc goode combinatione, or healinge:& vyhe-
reby this might be occaſion, to vvit, vvhether it

be through nature, or by the inordinate miner

— -

ooo Io IEEE Or rn

——

of life, of cating, ordrincking ,it becauſed,hs by
the drincking of ſ{tronge vvynes, or by catinge
of garlick, of Onions, of Porrhy, of pouldred,or
laulted meate, or of ſpices,as the ſuldiours vvc-
are vvonte todoe, that is little beloging to our
purpoſe. Nethercan Lhcer prztermit to (pe-
ke,of the perturbice of the minde vvher:hrou-
ghe moſt commonlye the Martialtffes are very
much afflited, vvhich through the generotity
of their courage, if fo be that in any aſſault, bar-
tayle or { kirmithe, they have nor valiate enou-
ghe born thElelves, or at the leaſt not to the co-
tentati6 of their Capitayne, & have not as Cx-
lariſtes behaved thelelves, & fought & are ther-
fore blamed, of thoſe vyhich are their, cnviours
& ſuch as hate the, vyheri they doe ſo veheme-
tlye vexe, & greeve themſelves, that itircketh
the, & doc ſo melancholize themſelves therin,
that they doe vvholy neglect theſclves, deliting
& vociteratinge for death rather the to live !oe
milerablelyc in diſhonoure. V V herforc allo ir
may happen inthe ſame, (beinge greevoullye
vvoiided) that vvhich happene4to the Lord of
Aufſſun,vvhich vyas one of the moſt valianr, &
moſt magnanimouſe, gentlemen of all Fratice,
of vrhomeir vvas comonly for a proverb lay-
ed,the hardines, and valoure d'Auſlun, cautcih
vs tOadhibite credite thervnto, vvho, throvghe
I knovve not vvhat miſchaunce, & {udda\ n a-
ſtonil hmetin the firit charge of the battayle at
dreux, ther artived & as it vvear overvyheimed
him ſucha difgrace, forthe vvhich he ſo gree-
ved him ſelfe, and forroyved that vvithin tevv
dayes therafter vvith ſorrovve he dicd:havinge
lolemlye ſvvrorne, that he vvould neveranyc
more cate, ordiincke, vvith vvhich reſolution
hedyed. Contrarily the ſouldiors ſotimes, 'doe
lo valiauntly cobate, by the vyhich they vvexe
ſo couragious, & doc (o ioy theſclves therin, &
therby doe ſo exalt theſclves,that their har: c of
tEtimes isinflamed, & pufted yp vviih pride of
their victory, & honoure vvhich they reape, &
enioy. V Vhich cauſcth great alteratio, & chai»
geas vvel inthe body of the one asof the other,

Fol 59,

Perrntha
o5 Th -

mide,

Har 1: I

oft Afiun.

And to ſpeake truth, ſuch motios & turbatio The ger
of the minde,arc of great forces, in the body of uo.
man, they caule therin ether great xgritudes & + *

CCItECtL

| difſeaſes,or cls death : forifto be the motions, & 4.7...

and perturbations of the minde, have pover © i cur
increace the naturall caloure, or todiminil he 299305

the ſame, of cauſing the ſame todravveinvvar-
des,or to expel] the ſame outvvardes & to fpre-
ade it ſelfe by the pot bodye: & ſuch motios
of the naturall caloar, vvhich doe reduce vvith
the the virall ſpirites, & the blood, is an occatio
of all diſſcaſes, & of health: ther muſt then cer-
taynlye ſubſcqvute,that the ſayed motions,and
perturbationes of the ſoule, and minde, have

' all povver in thcir handes of our healthe.

So thatitis eycn as Ariſtotle, Lib. de motu ant»
malis,

» 2. WIT — w—_—

-

:

The Frenche Chirurgerye

malis Chap.s fayeth,that the motions, andrur-
bations of the minde, doe cauſe ſuch a remorti6
and alteration of the naturall caloure:as Hzp-
pocratesalſo teſtificth the ſame ynto vs ſe. z.of

the 6. Epidemiorum , & Galenus Cap, 5 . ſecunde de

Symptomatum cauſis and Chap. 5. ofthe ſeconde,

of Methodes; vvhere he demG6ſtrateth, that ther

uons of are manye vyhich throughe motione, and per-
the M1N- turbatione of the mindes havedicd: V Vherfo-
* may Fong re Galemalſo,on the 14.rule, of the 4.ſeQtion, of

the {ixt Epidemiorum, thoſe vyhich internallyc,
have a ſharpe corrodent caloure, (vvherfore by
by ſoc much the more vve muſt prohibite the
vvounded) toabſtayn from irc,and choler,and
from all turbations of the minde, vvherbye the
humors might be moved. The ſayed Galen in
his booke de ſanizare ruenda demonſtraterh, that
ali rurbations of the ſoule & all motions of the
minde,do ingendre greate quantitye of Cholera
vvherbyarecauſedgreat inflimatiss & fluxions
inthe vvounded parte and per conſeqvencea
Gangrena, and ſomtimesin the enda ſuddayne
death.

Amongſtall other turbations of the ſpirires,
loy is that vvhich ought to cauſe the leaſt acci-
dentes vnto our bodyes, notvvithſtanding vvas
the ſame ſo immoderate, and violentin Chile-
nio lacedemonico, & in Diagero Rhodiano, both the
vv hich ſoc ioyed themſelves, perceavinge their
children victorioullye to returne over theire c-
nimies, that of ioy they both immediatlye, and
ſuddaynlyedicd : for through ſuch immodera-
teioy , the bloode and the vitall ſpirites of the
Harte, are vvith ſuch vehemEcy reverted from
the Harte, and diffuſed and diſperced, throughe
the vniverſall bodye that the Harte, is vyholye
deſtitute of his naturall caloure, & the perſone
muſt neceſlarilye fall into ſyncopizatione, or
fayntnes, out of yvhich commonly folloyveth
death : But ifthe ioy be moderate, it fortifyeth,
and ſtrengtheneth the animale, & the naturalle
virtues, ſtirreth vp the vitall ſpirites, & ſugge-
rateth thedigeſtione,and isconſequently com-
modious for all the conſtirutione of mans bo-
dye, vyherthrough the loynQes, are throughe-
ly ſoacked, & moyſtened, becauſe of the humi-
ditye vvhich is diſperced throughe the vyhole
maſſa of the bloode, ſoc that by this mcanes,the
vyour:desare better mundified, and incarnated
and thoſe partes doe increace,and pingyvifye.

In like ſort alſoc doth Cholera,or anger,and

i_aoiers yer allo more, then the immoderate ioy:becau-

le heerby, beſydesall this thatin the fpirites &
humors of the bodye is cauſed greate corrvpti-
one and they throughe theire greate heat, & ca-
lourc chaunceto inflame , and by this meanes
conſequently, the vvhole habiryde of the body
is replcte vvith putride agues, hovy little ſicke
ſoever the perſone be, vvhich forcſayed agues,
if they chaunce to afflict the paticnt vato death

asit oftentimes happeneth, vve moſt comms-

cenoughevanto vs , vvhat accidentes are cauſed
throughe ſorrovv,and greefe, hovy healthfull,
& ſovnd ſoever the perſonne be vyhich is ther-
vvith intrapped? for { he ſoe reſcrateth,and as it
vveare (trictly occludeth the Harte, that by noe
meanes there can engendreanye virall ſpirites,
and hovv fevy ſoever ther are, yet they may not
be diſpercede vvith the bloode throughe the
vvhole body, becauſe the ſame is groſle, andte-
nebrous, by the vvhich the virall virtues, andal
theire accoplices, arcdebilitated:ſo that in the

hateth himlſclfe, fallinge intodeſperatione,and
raginge, havinge loſt his livelye coloure in his
face, conſuming the body, vvherby oftentimes
mult tollovy death.

It vvill notalſo bealienate vnto our purpo-
ſe, tothe aporoving of my ſayinges, that I heere
recite that vvhich the father of cloquence hath
vvrittE ad Articurn, the vyordes vyherofare the-
ſe:Ir yveare an excellent matter my good frend
Atticus,that man could live, vvithour meate, or
drincke: but yeta farre more exccllelleter mat-
ter if ſo be vvichout anye envie , and hate yve
coulde Live: becauſe thoſe viandes vvhich yve
cate, doe corrupt nothigels the our humours,
but the trayterous envie , and ſorroyy , doe
conſume vs evE vnto the bones: Envye, & ma-
lice conſvme the bones, & corrode the entralls,
as vve playnlye may behoulde : for man ſicke-
neth, through iome certayne envye, & malice,
of the vvhich he by continuance of timedicth.
Doeſt thou not knovy by experience, that tvyvo
torturors, vvhich vvilldeprivea mi of life, that
the torturer of gricefc, and ſorrovve is the moſt
cruelleſt, yea then of the Gluttonye?

the covvardes, & faynte harted are oftentimes
touched,and taken: This ſtupor cauſeth in vs,
the ſame accidetcs vvhich the ſorrovve cauſeth
but ſomyvhat greater for the time: for this fore
ſayed ſtupetaQtione,and feare, expulſeth from
him, & retrateth tovvarde the harte(but vvith
more feſtination,& more raptnes,then the ſor-
rovv)the bloode & the vitall ſpirites, vvherfor
vve may perceave , that the facc in the time of
ſtupefattione, & feare, vvaxeth palc,and the ex-
ternall partes coulde,, vvithtremblinge of the
vvhole body:the Belly relaxateth, & the ſpeech
fayleth, vvith a greate reverberation of the har-
te, becauſe that throughe the greate quantity of
bloode, & of the ſpirites, vyhich ſuddaynly doe

retire thethervvardes, beingallmoſt ſuffocated
can veryedifhcultlye move it ſelfe, but greatly
delireth

lyethen attribute the ſame vnto his vvound, as ,_..,
ifofthe Chyrurgiane he had not{binne vvell tes of for-
handled, and not to the ague. Is it not evidente rovve-

E
el
re
n
P

enda man is in his minde vexed, & hebede, the The'me-
Harte omitteth all ioy,& pleaſure, he odiouſly licholic-

wa ca - =

thc. So SS & SS--o £4 iv. i

Nether may vve heere omittto recenſe, and of ſtupe-
ſpeake of the obitupeſcece, & feare, vvhervvith f*&ione.

of laqves Gvillemeau.

deſireth to be refreſhed, and diſcharged of ſuch
a ſarcinatione , ſo that oftentimes ther follo-
vveth death, becauſe the bloode being dravvne
tovvardes the Harte, ſuffocateth it ſelfe there, &
by that meanes the naturall calorand the vitall
ſpirites beig extingvil hed, vvithout the yvhich
Errot Of 1}. e life of man can not be preſerved.
If ſo be that anye bodye beinge vvounded,
monpoe- through perturbatios of the mind doc chaiice
pl todye,the vulgare & comms poeple, vvill not
attribute the occalis of death vnto choſe prx-
cedent,or przxnominated occaſions, but farre
more tothe negligence, and ignorance, of the
Chyrurgian, vvhich hath not intreacted him,
Feare and as it vveare convenient he had done, although
nicenes that thoſe vvhich have a more ſoyvnder iudge-
4 ment of ſuch occalions, vvill iudge clane con-
alth. traryethervnto,andothers. The like alſo may
be faycd of thoſe, yvhich vvill notallovy of the
vvill,and intente of the Chyrurgian, nether of
anye other remedyes vvhich vveare commodi-
ous,and profficable for his health, beinge ether
to timorous,or delicate, to ſuffer any apertion,
vvhich for hisdiſcaſe had binne neceſlarye, to
adminiſtre iſſue, & paſſage to ſome corrodent
matter,ot parcells of bones, that lye there prz-
pared & readyc to be taken out, yvhich by thei-
re remanſionce in that place, docalſocorrupte
the finitimate partes, docalter & permurate the
remanent part of bone , and corrupt the Mar-
rovve, vvherby the health, can not tuddaynlye
follovve;as the Chyrurgiane is exoptatinge, &
vviſhinge for the ſame,tyea alſo & by this mea-
nes oftentimes remayne incurable, by vyhich
TheHi- 9<calione the Chyrurgiane , vvith his Patient
eof mult hope for that vvhich his Patient vvill not
Dake ſuffer,and yet notvvithſtandinge is required of
he == his diſcaſe. Andto this end Du Belly, recirerth
vardes in his memoryes, that the Duke d Aumall,fon-
Dukeof neto the Duke a Gvylc, being mortally vvol-
Guyles ged, vvith a ſpliter of alaſice, vvhich pearced his
Eye, ſayed to the Chyrurgians,intreate,or han-
dle not my ſonne asa Prince, or mightye Lord,
but as a Pioner,or ſervant: vyhich vvas alſoc an
occalione of his reſanation , becauſe he ſufte-
Contem- red, that the tronchone of the Launce, vvhich
plation of gycke clean through his heade, to be vvith for-
—— ce,and violence dravvnec therout. |
: And if therfore vvedeſire toenter into the
contEplatis of the diverſityes of inſtrumemEe-
tes vyhervvith the vvoiides are made, vvel hall

then finde ſufficient occaſion,to eſtabliſ he the.

vnexſpected death conſidering onlye the mat-
ter vvherof the vvoundes are receaved, as vvell
ofthe (mall, as greate vyvoundes, Thoſe vvhich
have vvritten of Agriculture, ortillage,& Gar-
— dening,asCaro Plimus, Columellaſay,that the-
vounde ris greate difference, vvhether a tree be vvithan
is made Tron knife engraffed, or vvith a knife of Bone.

end And yve makelitle or noediffer&ce, vyherher

Fol.53,

our bodyesare vyounded vvith Leade, Iron or
Brafſe, ſeing that braile being mixcd vyvithe the
matter of our vvoundes relolveth it (elfe into
viriditye, vvhich corrodeth the fleſhe,and cau-
ſeth ſomtimes ſuch an inflammatis, that dea-h
therafter folloyveth. Nether is it ſufficier,that
inſhorte time , vve haveaccommodated this
mettle ynto our ruine , but noyy by little and
little vve make irfourcornerde, vyhich is farre
more daungeroule, the if it yveare rounde, be-
cauſe throughe the quadrangulatenes therof it
reſcindeth,cutteth & breaketh in peeces al that
vyhers it glaunceth, yvithout any ſmalle hope
of reſanatione:asalſoſomtimes the bullets arg
faſtened together vvith coppervyyer by yvyhich
meanes they cutta ſundre all fleſhe, vaynes,a r-
teryesand Synnues, vvhichare in that parte.

And becaus that thoſe men, vvhich comon-
lye vve muſtgive account of our cures, ar farre Anotable
more ſtirred yp through exiples the vvith any [725Y6
reaſon, vvhatexample isir of the dattghter of _—
Nerio vvhich is diſcribed in the fifte booke of &. of Nena,
pidem:Hippocratis,vvhich being but of the ave of
20. yeares,and beinge (mitren ieſtingly, of one

| ofher playfellovves,and frendes, vvith the pal-

me of the hand,on her forchead, is therof gro- Nee the

vyven mute,althmaticke,or { horte of reſpiratis cicifinngs

andfallen intoa convullione,and tremblinge. <<5 of the

and (o the ninthe day theratter dicd. True vvill co -

the backbiter or iclaunderer tay that chaunced ol Go

throughe the commotis of the braynes: vyhat * more

anſyver? of fuchalittle blovy, vvhich yvith the ——

palme of the hand vvas done, and of a mavden D

trende and playtcllovve, ieltinglyc ſtrikinge 2

mayde of tyyentye yeare2?V Vhye [hovlde not

then the fame commotione ofa varice,or bur-

ited vayne, not onlyc in the Braynes, but inthe

Breſte allo, vvhich happeneth to a ſouldiourc

vvho hath ridden the ſpace of ten , orty velve

hovvres longe ona harde troctinge Horſe, and

vvho before hath taken greate paynes, and tra-

vayle, & hath ledan inordinate manner of vic-

tiratione,the vaynes of the Lunges, & the Har-

teſpanned, & extended, or [vyollen, vyith vyy-

ne vyhich is as it vyearea corſelet vnto them. _

vvhervvithe theyadorne, & arme themſelves, Ve."

yvhen as they aſlault their enimies, and cſpeci- ray.

ally in Bartayle, vvher they doe ſtraygne them- 4i915,aud

ſelves vvith lovydeclamors and (critchinges. & <2 9a

vvith fightinge,and furiouſlye aſſaultinge, not ©

dallyinge,or playinge vvith their caimyes, bur

bouldlye incountringthem vyith Launces, on

theire bodyes,and thvvacking the on the other

vvith courtelaſles,and vvith Piſtolls, and Muſ-

kettes,f hootinge cach,at other, by that meancs

to murdre on another, veaand theyalſovvyhich

are completelye harnalled, beinge lifted out of

theire ſaddles lyc one the earthe for the other

Horlſes,totrample one vyhich not only one or Diſcom-

tvvodaycs have binn in greate trouble but the Modityes
O wyhole of vvarrc's

L Ani — DO 9 Ce

=
l_d. I OE Ry Ro. Matt. ”

to

CITED —————n—_— —_—_ ore Bos

vyholc beforevvinter have ſuffered in tollera-
ble coulde, and marched through, rayne, vvind
hayle , and Snovve , orels have travayled the
vvhole ſommer, through extreame heat of the
ſunne, and have reccivedall the iniuryes of ti-
me have bin hardlyc lodged yea and ſometimes
vnder the reſplendet ftarres, living on his pray
vyhich he hath gotten, ſomtimes halfe dreſſed,
or ravve, hott or coulde not tarryinge the time,
ofthe mealcs ſometimes beinge replete vvith,
filthye, ſtinckinge and corrupt viandes, and for
his drinck harſhe, noughty & tappiges of vvy-
ne,or els foulc and impure puddle, yea & ſtinc-
kinge vvatcr, havinge conſumed moſt of his ti-
me vvith nocturnall vigilations, laboure,feare,
ſtupor, anger, & melancholye.
10% Others dye becauſc in timetheyarcnotdreſ-
therare {cd and ſuccoured, yvhich as yet notlonga goc
vvhich is happencd, vnto our great ſorrovy, & lamen-
—_— tatione,to Capitayne Roux, vvho vvas ſhottin
re dos His checke, & riling, to avoydea cliſtery, vvhich
dyc- vvasadminiſtred ynto him, had ſuch a fluxione
of bloode out of his vyyounde, during the ſpacc
of cight hovvres, vvithout findingany Chyrur-
giane vyhich coulde reſtraygne the bloode, ſoc

thatin the cnd he yyas coſtrayned to yealde his,

ſpirite, my partakers, or compagnions, Ponget,
le Gendre,and Huberr,and 1, beinge charged to
rarry vviththe King that nightin the trenches:
thertore the Chyrurgians ought noc more to
be blarged, then vvhen the dilcaſe is ſodceplye
rooted, thattheris noc more remedye or cure
for the ſame, for as vve ſay by the commds pro-
verbe,or oulde adagye.

To ſerotine doth Dottour then beginne,
When the diſeaſe to deepe is rooted in.

Manye Ther are othervyyſe many thinges vyanting
-- by the vvornded, vyhervvith vve might ſuccou-
times Teth&,& ſolace th as it is requiſite vve ſhould,
vvatinge VVelce oftentimes greate Lordes lodgedin an
oF, aperte place yyher the vvyndes blovve onal [y-
| des ,, beingedeſtitute of oulde linnen todreſle
them yyith, & have very ſmall ſtore of victual-
les,and drinck,l hcere omitt the poore ſouldi-
ours, yyho being yvvounded mult lodge on thc

carth, |
Obicais, Therto may novve be anſyvercd : Iconfeſlc
' that ſometimes of the yearc are intemperate, &
vnordinate, that the ayrcalſo is infeted, & cor-
- rupted & that the vvoundedallo have vvant, &
arc deſtitute of manye thinges, & breefly to c6-
clude,that manyec of the above rehearſed thin-
ges doc fayle:notyvithitandinge ther are many
cured vvithoutanye accidentes chauncingeto
theire vvoundes, and for yyholc lake take little
paynes, & have noc great expenſes, althoughe
they are verye ſorclye vvounded & contrarily,
PEER other of little & { hallovy vvondesdoedye, To

The Frenche Chirurgerye

this obic& Ianſvvere, that all vvoundes vvhich
ſeeme to be larg & ample,arc nottherfor mor-
tall or perillous, as arc the great carnall or flet-
hyediſſolutions or vyou ndes, vvherin none of
the yyorthieſt partes are touched yyhich are ne
ceſlarye tothe life of man , vvherin are nether
hurtegreat Vaynes, Arteryes or ſynnues, but
vvhicharconlyegreate, &cuttin the fleſhe,as
inthe Buttocke,in the calfe of the Legges or ia
an Arme and yct notvvithitandinge be called a
great vyounde,not being ſo daungerous,as the
lealt punQio ofa lſynnuec is,or the hurt ofa gre-
ate Vayncor Arteryc,or cls alittle fiſſure of the
Cranum,orany ſmall thruſt in the Breſt, or the
inferior parte of the Bellye , percinge into the
concavitye of the ſame. And if fo be there yye- Daun-
areany vvhich of ſuch vyoundes vveare cured, |
beinge great vvoundes, not confidetinge the a-
pertione, but becauſe of the yyvoraded parte they
ought to be yvell diſpoſed, robuſte & ſtrong, to
reliſte ſuch anevell, & impeach the accidentes
vyhich happen thervnto, that they muſt allo be
rightlye diſpoſed &1empered yvithout anye of
the yyorthye partes, or thoſe yyhich are necel(-
lary vnto lite being thervvithe polluted or cor-
rupted,and ſuch may caſilye be cured : Socthar
thoſe vyhichare not vyholye ſovynde of body 14, oo 4
havinge receaved ſuch a vvounde, arc in great good cu-
daunger ofdeath,as others conſidering the dif. Wc:
ference of the rime andof the difference of the
bodyc,and body,and of partes therof: there are
ſome, vvhich arc of ſo gooda temperature, that
they v vith greartfacility are cured of ſuch vvoi-
des, the vvhich in others bodyes vycar mortal:
Contrarily ther are ſome pertons, vvhich have
receaveda vvound in ſome abicte and not ne-
ceſlarye parte or loyncte, vvithout profoundly
penetrating the ſame, yyherot notvvithitiding
they died, cther through the conſtitutio ofthe
time or throughe the diſpolition of the bodye,
the humours vyher of haye their defluEces to-
vvards the yvounded parte or cls through any
other occaſions , heere before alleged: but the
vulgare poeple, can not comprzhend all rthe(e
circumitances,and conlidirations, as the Chy-
rurgians doc in ſuch perſons.

For to iſpeake truth yve looke on the time, The vul-
one the yeare, & daye, numbre of poecple , all gare,and
vyhich have binne the one as ſorcelye hurte, or oople.of
vvoundede as the other, yet for all that , thoſe nor foe
vyhich vve eſtecme moit daungerouſly vvoii- 4 a
dede,& vyc iudgeto bc out of all hope, are 1[6- —_—
times firſt of all cured: V Vher of vve doe not anyrhing
ſo muche admire,after vve have-after death a- E the
notomizedethe deade corpes : for belydes ther __ #
vvounde vve finde,an other apparente occali-
one of death. Hi

AsSitisasSyctin ficſ he memory happened _ ;
to the Lorde of Bellay Barron of Toyarce , lorde of
King at d'Iyeror, vvho having receaved aſl _ cf Bcllay,
beto-

a2 z

of laqves Gvillemeau.

before Rove,or Roane in hisleft Arme,vyher
of the focille of the Elvovve vvas broken & the
vvounde beinge in good ſuppur ati6,& yelding
goode matter, and the fleſhe verye rubicund, &
grayned as vve vvouldedelire, & the Arme re-
mayninge in his naturall diſpoſitione, as vvell
above,as beneathe, vvithoutanye payne,orin-
flammatione, verye fevy, or nocagues atall ad-
loyninge thervato, notvvithſtanding al vyhich
beinge brought to his houſe, tvventy dayes at-
ter his vvound receaved,is hefallen intoa hot,
venoumous, or furious ague, vvhich accompa-
gniede him vnto the thirtith day, in vvhich day
hedied, hovy greate paynes,and labourc ſoeyer
the experteſt Doctors of Phylicke,& Chyrurgi-
ansand amongſt other the right vyorſ hipfull
M®Amboylte D” of Phylicke, an ordinary Phy-
ſicione to the Kinge, have therin taken, vvhole
expcricnce is ſuthcientlye knovve, the forefay-
ed Arme vviththe vvouad allvvayes remaynin-
Tn000g ge is his formereſtate, & diſpoſition. Novy the
the death COrpS beinge Anotomized , vve perceaved his
ofthe Lungesto be cleanecorrupt,and replete vvith
m—_— obdurate (chirrouſe vicerations, his right Kid-
ney allo vrholy polluted & much matrer in his
blather:vvhich vyas the occaſione of his death,
& not the vvounde it isa thinge therfore moſt
ccrtayne,thatit ſo be hisentralls had binn ſo-
de vvithourdoubte he might have bin.ne cured
of his vyvounde , becaule the ſame netherof it
ſelfe , norotanye otheraccidentes yvas mor-
tall.
Another Thecontraryc heerof chaunced,to the great
Hiſtorye contentation of all the Nobility,to myLord of
of my of Gyuri vvho having receaved,a terrible ( hot, in
Gyuri, Þis liniſtreſ{houlder,the entrice vvherof vvas
| right in the ioyncture, the bullet havinge tou-
ched a great parte of the apophytis of the bone
ofthe Arme,pearcingea longe the Omoplare,&
remayning, in the inferiorcangle of the fore-
layed Omoplate, vvhich bullet yvas happely ex-
tracted & drayvne out by M©Lavenot, tvvoren
Chyrurgiane to the Kinge, vvhich veryc cxcel-
lently hath dreſſed him the firſt time:notyvith-
ſtandinge,he is of this greate vvound(l ſay gre-
ate vvounde conlideringe that parte of the bo-
dye) vvholy cured, vvithout perceaying therin
any bad accidents.
_—_ good Temperature compolitione,and nature,
dſrales. (yyhich muſt cure all diſcaſes,)vvhen as ſhee is
evel intreatcd of experte, and learnede Phyfici-
ons,and Chyrurgians,and therof ayded, as ve-
rye excellentlye hath done amongſt others, the
right vvorſ hipfull M* Portaile, Councecller, &
chicfe Chyrurgian to the King, vvhich as novy
is chiclc amogtt vs: & of M*Gillisdes Rus, his
Chyrurgiane, vvhich dreſſed him: and vve are
heer farther to note, andobſerve, that ther may
be an other vyhich being vyoadedin the ſame

The vvhich vve muſt attribute, partely tothe |

|

place of his body, & ſhalbe treacted of the (cl.
feſame Chyrurgians, andt hall yet tor all thar
dye.

And for the confirmatione, of al that vvhich
is before rehearced, I yvill conclude this my A-
pologie, throughe my Lordes heerevnder no-
minated, beginning vvicth my Lorde de Hallor
de Montmorency, vvho beinge on Hort backe
by the Citye of Rovan, receaved a t hott ot a ca-
non,of the vvhich his Horte diced, & he beinge
proſtrated on the carthe, his Legge being 11 0:-
ves peeces brokt right vnder the loyncte of the
Knee, notvvithſtandingeall vvhich , vvith bis
gooddiſpolitio & nature hath cobated agaynit
all the malice of time, & magnitude of the vvo-
unde, beinge verve ſucceſlivelye curcd of 11:©
right yvort hipfull M* Martel, Chyrurgianc 10
the Kinge, vvhois verye experte in all the Op®-
rations of Chyrurgerve. Contrarilye, my Lor:!
the Baron of Salignac, beinge vvounded onlvc
vvith a ſimple thottofa handgunn, v vithout a-
nye fracture of bones, in the end dved thero! al
thoughe notvvithſtandinge he vvas aſlitted Dy
the right vvort hiptull M Pouger, alloc onc ot
the Kinges Chyrurgians and chieffe in Mont-

- pelliers havinge ſcene the houre, in the vvhich

the Gazgrena chaunced to his vvounde, manv©
fluxions oppreſled him , by vvhich meanes h©
veryedithcultlye coulde be cared: V V hich vic
muſt only attribute fito his rEperature, vvhich
vvas not {oe goodasindeede it yveare to be cx
optated it had.

The moſt happye cure vvhich M* des Hayes
hath effeted,one alſo of the Kinges Chrrurgi-
ans, vyhich isa verye vvyle man in thearte of
Chyrurgerye on myLordede Vic,gouvernou-
re for the Kinge in S” Denis, vvho yvith divers
vvoundes yvas yyounded, & eſpeciallye in his
heade by the crovvne of the heade, and one the
ſagittalle ſuture vyhich yvyas reſcided cleane 0-
verthvvarte,& is therof very ominouſly cured
vyherby is demG6ſtrated ynto vs, vyhat the go0-
de diſpolitione of the body can doe, vyhich co-
batedagaynit the iniuryes,and malice of time,
and many other more, inquietudes, yveare clc-
anc contraryc vato him:yyherin the forelaved
M*des Hayes, hath vied great conlideration, to
his perfecte refanatione.

The ſameallioe happened,in my L orde the
Duke of etpern6, vvho beinge vvounded vvith
a greateſ hott , vvhichdilaniatcd a parte of his
inferiour lippe, had deprived him of certayn of
his tceth,and a part of his chavvbone, pcnctra-
tinge, & takinge his ifſue cloſe by the yavne 7 «-
ewlaris,vvas cured of Mont® le Gendre , & Sur-
lin, Chyrurgiansto the forclaved Duke: out of
the vvhich vye may playnly note, that nor on-
lye the iunioritye, or youth and good tempera-
ture, arenotonlye profitable vnto the reſana
tone of yyoundes, butalloe the goode conſtt

Q 1 rutione

F

ol.54.

A nother
Hittory,

An other
Hiltory-

«
tl
Y
Ll
þ |
r
s

The con-
ſtirarione
ot the ti-
me 15 c6-
modious
to rela.
natiune

Another
Huittory.

An other
Hiſtory.

The Frenche Chirurgerye of laqvesGvillemeau.

tatione of the time: Fora lirtle before (vvhich |
vvas about the beſicging of Chartres)the died
moſt of all the vvoaded, hovv ſound norvvith-
ſtanding ſocver they vveare, & hovv little ſoc-
ver they vveare vvounded: vvhich partlye vve

muſt attribute ro the badde conſtirurion of the

time,as in deede at that time it vvas adiſordred
vveather:becauſcinalhorte time therafter,all
the vvounded yveare of rheir yvoundes cured:
& amongſt others my Lorde the Earle of Flex,
vyrhocin the end of the belieginge , receaveda
ſhotrota Canon in the inferiour parte of his
Bellye , vvherof it vyas vvholye plettered c-
ven vnio the Perironexrm, the vvound being all-
molt the length ofa foote,in longitude, ot hal-
fc afoor,in latitude,as M© Portayle & Samboy-
ſe can vvitnes, vvhicha longe timeadminiſtred
helpe vnto them. On the fame time, my Lorde
of Favolle vvas cured, of a ſhotr, vyhich brake
bothe the focilles of his Legg,a little above the
anckle , vvhich allſoc vvas cured of the right
vvort hipfulle M* Portaile, & d' Amboylſe,& of
the moſt ominouſe, & dextrous hid of M*©Bil-
larde,ordinarye Chyrurgiane tothe King, and
of M* Biron.

And for an inventi6,or praQtice, vyyhich vve
might ſay to be vyholy agaynſt rcaſon, amGogſt
manye others more yvhich chaunced at Char-
tres: ther vvas the Chamberlayne of my Lord
the Earle of Chiverny, called the Pietmontois,
vyho vyvas yvolided,on his heade vvitha raper,
vyherby his Pariezale vyas clci reſcided throu-
ghe,yca &clcan through the Dura, & 1'4a mater

alſo, pearcing the depth of ones fingerinto the |

ſubitice of the Braynes ? vyherofin the ſecond
dreſſinge, cleanethroughe the difſolutione of
the Cranm,ther iſſued out as much of his Bray-
nes,as the quitity of the little finger in logitu-
de, & craſlitude therof:notvvithſtanding al this

—

is he in the preſence of the right vvorſ hipfull
M* Le Febure, & Duret, ſyvornc Phyſicionsto

Or IE

the Kinge,& other DoQours of this profeſſion
out of Paris, vvhichare verve expertc in Chy-
rurgerye, v vhich vvcarc alſoc aſliſftantcs in this
diſcale, & vvas of me complerelye cured, yvith-
out havinge retayned any accidente,or impedi-
mente therot: Divers Chyrurgians ot the cityc
of Chartres ſtoode heerby, & among(it the reſt
vvas M* Franſoys Cheaurcau, & Michel Fauve-
au,

Attheſame time trepancde M Gabriell du

Tertre , a verycexperte Chyrurgiane in all his Another
operationes, a certayne vvomane vihich vvas Hiltory,

threeicore yearc of age, or more, vvhoec hadde
a frature in her occipiralle partes of the heade:
he hadde beſides her a little page, or lackye in
handes, yyhoe hadde his 0s Petroſum brokene &
ſplicte, and ſome parte of the Parierale. In like
ſorte alſotrepancd M* Gillis Pillier, a moſt ex-
pert Chyrurgiane,a Tripelſcller,called M* Lau-
rence, vyho had his membrancDura marrer cleft
a ſunder:all vyhich foreſaycd paticntes have re-
ceaved theire complete reſanatione: vve muſt
heeralſo farther note, that vvithin the ſpace of
tyyo moneths therbefore all thoſe vyhich vve-
are vvounded in the Headedicd, notvvithſtan-
dingeall the ſccourſe vve coulde doc them yet
for all that they dycd ſuddaynlyc.

All vyhich beinge noted, vve muſt attribute

the deaths of ſoc manye valiant Capitaynes, & jigne of
vyorthy Lordes,and brave ſouldiours, on ſuch the Apo.
occaſions,anddifordeis,and not on the fault as '28)©-

if they vvearc inconvenientlyc treated, & ſol-
licited, vvhether cther it vycare throughe yon-
ge,or oulde Chyrurgians. Orcls vve vvill con-
cludc ir rightlye, vvith the Aphoriſme, & com-
m6 proverbe,it isallvyayes good Lucke, as 16-
geasa manfalleth not and breaketh his Necke.
As Heſiodus ſaycd, ſometimes is the day our
mother,and ſometims our ſtepmother.

End of the Apologye for the Chyrurgians,

—_

Og

SS lb iDieaCt.GiimScGcSSCSweaa-

Ac

FE

"T7, \ Y, \ 9 $0 \
a Jes oh) Je ood. MIX Mt »
\ $3 f "w *

EE)

THE INDEX OP

THE MOST ESPECIALL

and notableſt thinges contayned inthis worcke
of Chyrurgerye, vyhcrin the Fdenotateth the leaſe,

A

Bullet ſomtimes, carrieth ſomethinges vvith
A itinto the bodye. Fol.7.
Abullet ſometimes pearceth through the gril-
fles. | 8
Abullet through his ponderouſnes ſincketh doyyne-
vvardes. : 8
A Chyrurgian may caſilye in {carchinga broken ſcull
be deceaved. 9
A certayne Ligature, - 39
A Chyrurgiane is the (crvant of Nature. $
Adubble inicitionc in a dubble Hernia, 22
Adifleaſe beinge cured, moſt commonlye leaveth ſo-
me relique behinde it, 51
A fingercale of Lattinne. 39
Agreate vvounde is taken thre manner of vvayes, 2
A biſtorye of the daughter of Nerius, 2
A heade noughtilye formede, 50.& 53
A monſtruote Childe, z6.
A notable hiſtorye. 7 |
A notable ſentence, 5O
A remedyc agaynitc the corruptigge of the games.24
A ſuture, or commiſſure vvhat they be. 9
Athumbe beinge vvholye mutilate. 39
A trycde remedyc,for ſinckinge of the palate, 25
A true ſigne of the imbicillitye ofanye parte, 5O
Accidentes of a departed (vvellinge. 2
Accidentes of the Droplſye. 20
Accidentes vvhich may caſue through cutting to hi-
ghe of the pallatc, 25
Accidentes procceding out of badde phlebotomy, 27
Accidentalle imbicillityc, 51
Accidentes of {orrovVe. 52
AQtualle Cauterye. « 39

Admonitio concerningecall greate ApoſtematiG6s, 18
Admonitione for the lcttinge of vyater or matter goe

from the Breite, 29
Admonitione for the Chyrurgiane concerninge the
Polipum, 22

Admonitione for the Chyrurgiane,concerninge the
extraction of yonge Childrewour of their mothers

bodye, 35
Admonitione in thc applicatione of the atuall Cau-
tEry CS, 42

Admonitione concerninge the bloodye flixe, 49
Adviccof Celſus, $
Afrer vyhat forte yve ought to lift out the trepanede
bone, 1%
After vyhat manner vve muſt in ſovving collocate the
patiente. 16
After vvhat forte vve muſt thruſt in agayn the Net, 16
After vvhat forte vve ought totycthe teeth. 27
Agaynſte rotten, hollovve,and ſtinckinge teethe, 26
Agreement of M* Gourmelin and M* Pare, 38
All greate yvoundes are daungerous. Fl
An cxccllent limilitude, $
An other faf hon of ſovving of the bellye, accordinge
toſome mens fayinges. 17
An other conditio, vvheron vve muſt conſider, in the
openinge of a lvvellinge. 18
An excllent conſideration to be had of the Paracente-
{c, (20

| Another meanesto cure the Potipum, 22
An inſtrument callcd Staphilagres. Wo
Anrtiades. 25
Ancuriſma is daungerous. z0
An artery vvhich ot the AuQthor vvas tyed aboye the
Ancuriſma. 30
An other practiſe concerning the Fiſtles of the Fun-
dament. 35
Anaſtringent plaſter on a fraQture. 46
An cxccllent obſcryatione. 47
Angleyyyle figure the naturall ſituation of the arme.
(47

Anague beinge cured, commonlye leaveth and Em-
picma after her. Fl
Applicatione of divers corrolives. 20
Applicatione of Boxes. -
Applicatione of the ſuperioure Ligature, in a broken

| Legge. FY:
| Apertione inthe Scrotum, bythe thruſting through
| ofaſilkethrede. 22,
, Apertione inthe Vaynes,andarteryes, of the temples
of the heade. 29
Apoſtemationsfounde in the yyorthyeſte partes of
the bodye. +
Archigenes. 20
Aſcites is ſubicec to Paracenteſe. 20
Aſtringentia. 49

O m7 Attract

m_ - —

—_— —— Om ———_— — - — _
> "—_—

Index.
AttraQtive ligature. 45 , Cureofthe tungetyinge. 14
Auncicat Chyrurgians cauterized the Varices. 31 || Curc of Ranula,and reverſione therof, 24
Autumne cnimye toall pulmonicalle yyoundes. 51 || Cureof Ancuriſma. 30
Cure ofa Varicec. 31
Cure of the putrefated bones,
Packe badlyc formede. 50 = of the —_ "y
gn lignes, | 29 || Cure ofacroockede finger. ' bbidem
ILiICa, »{ : L
Baſilica is daungerousto be phlebotomized. z0 Cure ES Dyienteria ot
Blacke vayne. 29
Bloodvyeflixe. 47 || Daungerouſe vvoundes, $52
Bones of yonge Childrenc are bent invyardlye. 1: || Deſcriptione of Phylicke. I
Bones ſubiccd to all manner of diſſcaſcs. 33 || Deſcriptione of the ſignes, of adilaniated Cranium.s
Boxes may be applycde on all places of the bodye.! zz || Deſcriptione of ſovvinge. 23
Breſt baddclyc formede. $© |} Deſcriptione of the Droplye. 20
Broade, and narrovyvclancets. 28 || Deſcriptione of Ancuriſma, 30
EE Deſcriptione of a Varice. | z1
Gorings ;
Canckerous almodes, may not be tyede,nor cut of. 26 _ b inline | 2-975 wargd - :
Sr on : Ei | 6 rody worry be reiterated. p - Deſcriptione of naturalle bones. 33
Ong ERS 2 Decentlye to vvinde, 45
pan. cs for thoſe vyhich are troublede yvith the - Deſcription of the bloodyeflixe. | 47
be Enocal ; || Difference bervveene theſe thre vIcerationsAteroma,
WCTFESY hy 1-1 || Steatoma,and Mcliceres, 18
Cauteryeof M* laquesde Ville neufue. ibidem ef Boxes. -
Loy a= + eye _ TG 99s _ Differences of the Cauteryes not properly taken. 9;
mm ur _ —_ ENRRnY * || Differences of the Cauteryes ſimplerye taken. 40
CD FN EIIDTD. +* || Differences of Cauteryes concerninge their figure.go
Ccltus.g his manner of ſoyvinge of the Bellye. 17 concerninge their a&fone. tbidem
CO_ 9 opcnede — _—_ #1 Numbre. ibid, & manner of applicatione. ibidem
- . Ga ts CES oT Fr Ds g || Divers miſcoſtruinges of this vvorde Chyrurgerye. 1
=o. on, 54 _ ha The \deextirpateany || Divers accidentes of the vyoundes of the heade, 9
ny” _ prada. 6.4 Diploe vyhatiris.12 &10
Circumiacent partc in all vicerations in cauterizinge pe "og utureaccordinge tothediverſitye -
mult be freede. 34 || wn \ nock
C'ca1inge of the Fares, and noſtrelles. 23 ——_ ds wk the legge croockede, -
Cliſteryes made in divers faſhons, 49 || Divers Chyrurgicall operations. 26
urns - _—_ *3 || Divers conſiderations of cauteryes, 43
Comparidda p44 Divers fictions. 50
Concluſione of the Apologye. _ _ _— # an extirpated membre the blood —_—
Coniideratione forthe vyoundes of the heade. 3 Dropſye of the breſt and her tokens. 19
Coniideration to be had before the givingeof repor- Dubblebandein phlebotomye | 28
W's +]! Dyſcateriaimproperlve taken 47
Con{ideration,of Bullets. * Þ <a 1019820 0.
Contiderationein faſl.eninge of the Ligature. 45 na on Aa " |
Conlideratione on the time of he yeare. 51
Conitirucione of the yvounde. $2 || Earc vayne. 29
Conltitutione of the time, is commodious to refana- |] Eaſc goodefor all vvoundes, Jl
Lone, 54 || Eftectes of Cholera. $2
Con:emplationeotinſtrumentes. $3 || Effectes of ſtu petattione. 52
Continuice of the miner rightly to phlebotomiſe.28 || Elevatorium. 7
Continuance of raſ{pinge of the Caries of bones. 33 || Elevatorium vvhatitis. 13
Con:inuance of keepinge open an viceration. 43 || Entrance of the ſtomacke beinge hurte. 4
Convuluonein vvoundes is veryedaungerous. 2 || Entralls beinge out of the Bellye, muſt eyerye one be
Corrolivevvithan inſciltione in an Eſcara. 20 agayne reſtorede into his former place,and naturall
Councell of Hippocrates to dravve of the vyater, 21 ſtatione,1f it be poſſible. 16
Councell ofauncicnte profeſſors , forthe curinge of || Error of common poeple | j3
the Varices, z1 || Example, s
Corrodinge matter cauſeth manye badde accidetes.5z ' Example of Hippocrates,

8
Examplc

Index.

Example of Albucraſis. $
Example of the ſicuatione of any diſlcaſede parte, 47
Excellcuric of Chyrurgerye. | 5
Experience of the Aucthor in extirpatione, 37
Expullive ligament, 4-4
Extirpation ofa ioyaceis verye daungeroute. 37
Eyc vaync, 29
Eyevayncin the ane 29 |
Feareand nicencs doc impeach health. $3
Fifch incarnative ſuture, Is
Firſt vvay to cure the linckinge of the pallate, 25
Firſt kinde of ligament. 44
Fiſſures recollect themiclves ſometimes. 10

Fiſtles of the fundamen: ate e: her occult, or aperte. 24
Firlye ro applye the Cauteiye on the arme, 42
Flet he , vvich ict he vniceih farre toonerthEſkinne,

vvith( kinne. 14
Fluxus Hepaticus. 48
Fooliſhe perſualione, 2
For yvhar occaſione vvc ought to trepane, 10 |
For greate payn,and doloureintheiceh, 27
For limple tractures. 45
For reiterated cauteryes. 42
Fourth incarnative luture, Is

Fourc eſpecialle conditions, vyhich the Chyrurgiane

muſt conliler, before he open anye tumor, 1$
Form and figure of ligamentes, 4.4
From vyhence vve mult take our indicatione of the

greaiencs of a vvounde, 18
Furriers future. | 16
Fyer, the lurclic remedy for corruptis of bones, (; 3

Ci
Gaſtroraphia. 16
Glutton1e che occalione of much evell, 2
Groſle bloode in phlcbotomy doth nothinge cls then |

droppe. 49 |
Gooddodtrine fora Chyrurgianc, s
Gurgulio. T 2
Hande, an inſftrumcate ofiaſtrumentes, 39
Hardines of Auſl.Qn. 52 |
Hepatica. 29
Hemorrhoidalle vayne, zO |
Highe ſitua:ione ofa broken membre, 46

Hinderance of ihe ſanatione of the tungetyinge. 24 |
Hippocrates in his Porrher, be
Hippocrates hath binne deceaved. "
Hippocrates in prognolticis,and thirde booke of diſc-

19 |

a'es,
Hippocrates concerninge the caries of bones, 33
Hippes baddelye formede. 50
Hiftorye of Albucalis. 26
Hiſtoryc of Meſlalinus, 31

Hiſtorye of Albucalis concerninge the corruption of
bones. : 34
Hiſtorve of Duke d Aumalle , afteryyardes Duke of

Hiſtorye of my lorde of Bellay. 44
Hiſtorye of my lorde Gyuri., ipidem.
Horſeleeches are cnimyestoall pingneditye, 32

Hovy vve hall cfpye the havrye tiflure. 9
Hovv greate the apertione mult be tor rrepanatis. 21
Hovv to fovve a vvounde convenientlye, 14
Hovv vveought to make the apertione in the Empie-

ma, Vvitha lancet, or vvith a corrolive, 19
Hovv vve ought toefiecte the openinge of the Drop-

lve. 20
Hovy vve ought to make the apertio inthe Hernia. 21
Hovy vvc ought to cure the Polypum.
Hovv yve ought tocure thecloven lippes. |
"_ vvc ought to cut the tunge tying in yonge Ch

rene,

to

4
4 ts

be

bp hy wm

þ
Hovy vve ought to dravvea tooth. 7
Hovv vvel hould conveniently phlcbotomize. 28
Hovy vvet houlde ſtench bloode. 29

Hovy vvelhoulde open the yaynes of the handes.and
kecte.

£3
Hovy vve ſhoulde open an Arterye, 39
Hovv tocutavvay a burſten vayne. 31
Hovy vvet houldecauſea horlelcech tofall of 32

Hovy vvet houlde reftraygne the blood aticr the hor-
tcicech hath tucked, z2
Hovv vve { houlde binde apaten: fiftle of the fi:nda-
meur. i 4
Hovv vve ſhoulde ſituate the vvoman in dravinge a
childe out of her bodye. T:
Hovy vve t houlde coaycnicntlye extirpate a iovncte,
(38

Hovv vyve ſhould tyetheligaturero ftoppe blood, » 8
Hovy vve ſhoulde gentlelye take of a ligament from
a fracture.

45
Hurtes of che blather. 4
Hydrocelc. 22
Inanimate thinges feelceffetes of the moone. 51

Incarnative ſutureand her fiye manner of yyayes. 1;
Incarnative ligaiure. 44
Indication hovy vve may eaſilye,or difficultlyc attay-

nc tothe bloodye flixe,

$
Infultione of Rhubarbe. ps:
Inicitione mult be done, before inflammatione, t x
lnſtructione hovyv to vyorke yvylclyc. 7
Inicition of the Scrotum. 21

laitructione to knovve vyhether the extirpatede me-
bre mutt be ſtenchede or lett bleede. 38
Intent of the Autthor. -
Inten:ione of the AuQhor concerninge the fiftles of
the fundamentr. 24
Intent of the Author of Phlebotomye. 27
Inventione of (ciences. - r
Inventione of the Cauteryes is throughe nature (he-
vvede vntovs. a 40
In phlebotomiling of thoſe vvhich are phrenſye, vve
ought to make buta (malle apertione, 28

| Invvhar perſons thedravving of vvaicr muſt be vcd,

andin yvhatit muſt be lett, 20

In vyhae

——_— —}_.4t

Index.

In yyhat places the ſcatifications may be made. 21
In vyhat perſons the operatione of the haremouthes

is daungerous. 23
In vvyhat partes the Cauteryes muſt be applyede. 40
In vvhat partes vve ought toapplye the Seton. 43
Irregulatcd ſeaſo of the veare,aultereth our bodyes.s1
It is ſurer ro make an iniciſion,in the fiſtles of the fun-

dament then totye them. 35
Iudgement muſt be providentlye given. 4
Iugularis vena. K 29
Knovvledge by ſight of a corrupted bone. 33
Knovyvledgethroughe tatture, ibidem
Knovvlcdge by the matter. 33
Legges of a difficult relanatione. 50
Ligament mult be broader then the diſſcaſe. 44
Ligament for the diſſcaſe. 44
Ligament for the parte. 45

Ligamentcsfor ſhot vyoundes , vvith cruſhinge of

bones, 46
Ligatione of Epoulis,is more certayne thE inſciſi6.23
Ligature,or inſciſione in the Almondes, 26

Ligatione of the Elbov ve,after Phlebotomye. 29
Lippes vvhichare cleft in tyvo places. 23
Lippe vayne. 29
Liquvefattinge fycr. 41
Liver bcinge hurte. 3
Magnitude of the putrefatione in bones, 33
Malignant ayre polluteth the hartc. $1
Man is ſubic@ toall influences. S1
Manner to cure Epoulis. 23
Manner hovv to trepane vnto the membrane. I3
Manner of applicationc of the Cauteryc on the cor-

rupted bone. 33
Manner to dravve forth a deade Childe. 36

Miner todrayyc out the aqvolity out of a deade Chil-
des bodye. ibidem.

Manner toclevateagayne the ſuncke, and deſcendede
Marricc. 37

Manner to prxſcrve the Cauteryes, 42

Manner to applyec the transforatione in the necke. 43

Manner of dreſlinge of all broken legges, vvhich may
be comparede, vvith the miner of all auncient Chy
rurgians.

Manve men prxzſerve their lives agaynſt the opinione

of the Chyrurgiane. 6
Manycther arc vyhich for —" ſuccouredoe dye,
(53

Manye thinges are oftentimes vrantinge vnto the
vyoundede. ibigem

Maſtcr Dvione an experte Phylitione.

Matter of the Viceratione Atcromalyeth incloſed in

a little blacher. 19
Marter of the Potentialle Cauterves vyhich arc novv
adaycsin vie. 41
Maſter Parc of Cauteryes, ibidem
Marter of the Ligamentes, 44

Meanes hovy to knovve vyhether the bullet have rake
any thinge vvith him. 7
Meanestodravve out the heade ofa deade childe, as
yet remayningein the vvombe. 36
Mcanes to finde the place in the heade tocautcrize.42
Meanes to keepe open a Fontanclle,

Meanesto make the expulliive Ligamente. p<
Mediana. 29
Medicametesto be eſchucde in the bloodyflixe. 49
Membranouſec Ligament,or tungetyinge, 24
Methode hovv to trepane. Iz
Midelcrecte beinge hurre. 4
Milte bceinge hurt. fbidem

Naturall ſituation, yyhich of the auncicnte profeſſors

iscalled the /,vr fituatione, 47
Nature cureth ai! 4iſſcaſecs. $4
N- - vyhich he. »cth ypitſelfe may be pricked throu-

ghe. 21
Neceſlaryethinges to a goode curatione. $3
Noe Polypus can throughe Chyrurgery becurede.:z
Noſe vayne. 29
Note your forme of your trepane in the ſculle. 13
Note the circumſtances of the bloyve , and the death

vvill ſceme moreadmitable. $3
Nuc inventede trepanes. 13

Obſeryatione of the Author. 9
Obſervatione in ſcethinge of the aulte to the Caute-

ryc. 41
Occaſione of corruptione of Bones. 33
Occaſione of the death of the kinge d'Iyetot. 54
Occaſi6e of the Dylſenteria. 28

On vvhart manner in dravving forth a bullet yve muſt
collocate the paticnr, 6

On yvhat ſorte yye muſt dravvca bullet out of aioyn-
Qe,

7
Oa vvhat ſorte the Author tyedthe arterye on the A-

* ncuriſma, 31
One diſlcaſc folloyvinge an other is very daungerou-
ſe. S1

Opinione of Paulus xgineta.
Opinione of aunciet profeſſors touching inſcifion. g
Opinione of Hippoc.touchinge the curing of fraftu-
res. 10
Opinione of Hippoc.concerninge trepanatione, 10
Opinione of Aviceana touchinge trepanatione. 11
Opinione of Celſus concreninge the apertioue of a-
poſtemations. 17
Opinione of Hippocrates concerninge Empiema. 29
Opinione of Gvidoconcerninge the filtles of the fun-

dament. 35
Organicke partes yvhichare cut of can not be cured
agayne. p

Other conſiderations to be had in prognoſticatione.z

Paroulis and the meancs hoyv to cure it, 23
Partes of Phylicke. I
Partes of Therapeutica. ibidem

Patctycde

ts. tc. [Acad

Index,

Patefyede fiſtles of the fundament, 34
Paticntlyinge on his backe can yerye yvel ſuffer phle-

botomve. 29
Paulus Aegineta. $
Penned ſuture. 5 |
Perturbations of mingde, $2

Perturbationes arc of greate effette in our bodyes ibi-
dem.
Phlcbortomye vyhye ir is difficulte, 27
Phleboromye muit be done yvith diſcretion in the
bloodyeflixe. 49
Place of the apertione in the viceration Empiema. 19
Place vyher vye may cut the Varices. 31
Places yyheron vve applye the Cauteryes. 42
Playne,and ſmooth ſituation ofa brok® membre, 4 5

Potentiall Cauteryes and matter th: 5, 41
Prattiſe of the Aucthor. 13
Prattiſe of the M" Floris Philips, _
PraQtiſe, of the Author concerningetecth. £6
Qrantityc of Ligamentes, 44 |
Ranularis vena. 29
Ravy fruicte caulcth the bloodyeflixe. 4.8

Reaſon vvhy a membre mult be cextirpatede in the

ioynctc. 37
Reaſon for thoſe vvhich extirpate a membre, above,

or bclovve the ioynctec, ibidem.
Reaſon of Ariſtot:covcerninge the bloodyeflixe. 47
Reccipte of the Velvet Cauterye. 41
Rediviſione of the firſt kinde of Ligamentr, 44
Remedyes agayn(t the blecdinge of thedeſcidede pal-

late. K. 25
Remed yes agaynſt the tumefatione Antiades, 2;
Remedycs for a vvounded arterye. +
Remedyes agaynſt putrefation inan Ancuriſma, 31
Remedyesagaynſt the Caties. 24
Remedyes co contolidate the yicerations, 49
Renuinge of Phleboromye. 29
Roote,and originall of the Polypus, 22

S
Salvarella. 29
Saphena. 30
Sciatica vena. ibidem
Seconde incarnative ſuture, 15
Seconde genetalle ſuture. ibidem

Secode meanes tocure the ſinckinge of the pallate.z 5
Seconde Kinde of Ligamente.

44
Seconde kinde of attractive Ligament. 45
Seton properlye taken. 43
Seton improperlye taken, ibidem
Seton vvith the vie therot ibidem.
Signes contrarye to prognoſticatione- 4
Signes of a dead] ye fracture of the ſculle. ;
Signes vvhen the braynesare hurte, ibidem

Signes yyhen the backbone is hurte, 3
Signes yvhen the harte is vvounded. ibidem

—

— —

—

|

| Temporall vayne,
$ignes to knovve vyhen the Trepane isentercde imto | Tendones arc daungerouſe to ſoyye,and vyhyc,

| Signes yyhen matter is fullye ripened.

the Diploe. z®
* , 7
Signes to knoyve the vicerations Ateromata, Steato-
mata,and Melicerides. 18

Signes of the matter yyhich is tetayned in the Breſte.

(19
Signes of a vvaterburſte. 21
Signes of a venoumoule Polypus, 22
Signes of a tractable Polypus. ibidem

Signes of a countertiſſure.,

G

Signesto knovve vyhenthe (vyollen almondes exyl-
cerate,vviththeir remedyes, 26
Signes ofan Ancuriſma, 30
Signes of a venoumouſle horleleech, 31
Signes of a goode horſelecch. ibidem,

Signes vyherbye the Chyrurgian is hindered, todrayy
torth the Childe outof his mothers body e.

>
5 %

Signes of a deade Childe in his mothers bodye, 36
Signes of tuppuratione, 17
Signes yyhen the ſmall guttesare hurr, 4%
Signes vyhen the greate inteſtines arc hurte, 48
Similitude, ©

Situatione of the paticnt,in the extirpation of a ioyn«
cte. 37
Situatione ofa ioyncte muſt be naturalle, & accuſto-
mede. 46
Sixe thinges vyhich in ſoyvinge muſt be coſidered. 1 x

Smalle guts being cuta funder,arc incurable, 16
Some men dye ot a (malle yvounde. 4
SOme men arecured contayninge the bullet in their

bodyc, 5

Some vyoundes arc eſteemed ſmalle, vyhich indeede
are greate,and daungeroulc. 51
SOVvinge may not vvith anye violence be done in the
lippes ofa vvounde, 14
Sovvinge of the haremouth. 5
Sovvinge of the bellye muſt not be done as the other

ſutures. 16
Staphilocauſton yyhatit is, 25
Stomacke,and gattes beinge hurte, 4

Subdivilione of the ſecode inferiour ligature in a bro-

ken legge., 46
Subſtance of attuall Cauteryes, 40
Snbſtance of the Cauteryes vyhich the auncient pro-

teilors vicd, ibident
Suddayne dcath proccedinge of ioy, 52
Suttocatione of the naturall caliditye, 50

Superfluouſe comettione, & bibacityc, are not ſo op-
pagnant ynto vs,as1s Mclancholye,or forrovve, 2

Supernaturalletecth, 27
Surures of the heade variable, 9
Suture ina ſeparatede place is needeleſſe, 1;
Teethe vyhich grovve forth vvith an acuitye, 27

| Teeth yyhich (tandetorth out of their ordre,, are bro-

ken,and yyhetiin as yet remayneth ſome little peece
ibidem,

-9

I3
The

Index.

a broken membre. 46
Threfoulde mcanes to cure the fiſtles of the "WF

ione ofa vrounde muſt allyrayes be recur-

Thapert

vatede TS hoed nvvardes,if it be poſlible. 46 |

Theapcrtion in the Hernia, is better to bedoneabo- |

=_ PI

ve then vnder. 22
The Cauterye maketh a greater eſcara, the the hole of |

the plaſter. 42 |
The Childe muſt vvith the heade be drayvE out of his

mothers bodyc,ifit be poſſible. 36
The Chyrurgiane can notcureall men. 50

The Chyrurgiane is ſometimes to late ſcent for. 19 |

The diflcaſc ofa hortened tunge. 24
The diſſcaſc of the tunge aftcr a callouſe viceratione.
ibidem.

The figure,or forme of vvoundes. 2
The formes of inlcilione in phlebotomye, 28
The hande muſt be ſhur. 47
The heade mavnot to {tritlye'be boyvnde , and the

reaſon vvhy. 20
The hippe mult be ſtirrede. ibidem
The ioynate beinge cxtirpatede, yve muſtdiſlolve the

ligature. 38
The legge mult be kept right. | 47
The manner of makinge an apertionc. 29
The meanes to drayy out the Polypus. 22
The meanes to cure the pallate. 24
The Mclancholicke doc hate themſelves. $2

The operatione to cure theſe thre vicerations, Atero-
ma, Stearoma,and Mcliceres is nothing difterer. 19
The place vvher,in the Paracentelec the apertion muſt
be madc. 20
The ſcull is the naturall opercle to the braynes. 22
The ſeconde inſtruction in dravving out of bullets.s

The ſeconde kinde of Dropliyc. 20
The ſutures, & temples of the heade may ſometimes
be trepancd. 11
The thirde inſtruQione. 6
The tumor Empicma cxternally ſometimes demon-
ſtrateth iticlfe. 19
The vayne in Phlcbotomye muſt be inſcided in her
middle, 28
The vayne beinge vvel opencde, yet throughe the af-
frightednes of the paticnt ſhedroppeth. 29

- The vyoundcd feceleth not his vyounde at the firſt
dreſlinge, 6
The vvoaded vyhich have binne in thedrivelinge cli-
mate,can verye difficultlye be curede. 51
Ther may not be anye flct he on the bone yrhen vve
intende to ſavve it of. 38

Ther is bur one expette Chyrurgian in all Fraunce. 50
They vvhichare of moſt experience may iudge ofthe

poynctes, concerninge the bloodyflixe. 48
Thirde incarnative ſuture. Is
Thirde generallec itirchinge. ')
Tholc bullets vvhich ſtickefaſt in the bones, are verye

difhcultto be dravven our. 7
Thoſe vvhoc arc deprived ofanye ioynec are veryc ſu

biete vntothe bloodyeflixe. 47

Thre lortes of ſovving by the auncient profeſſors. 1 bs
Threlortes of Droplye.
Thre chinges to be conliderede in the collocatione of

ment. 34
'| Thre thinges vyhich make Childebirthe difficulre.z 5

Throughe perturbatione of minde a man may dye.2

Thruſtes in the ſynnuesare daungerouſe. L
Toapplye the Cauteryes on the Legges, + 42
Toapplyethe potentiall Cauteryes. 42
To make a horſcleech violentlye to ſucke, 32
To knovy vvhether the Hernia be on both ſydes. 21
To knovvean imbicille parte. 52.
To mollifye the ſkinne in Phlebotomye. 28
To reſtrayne bloode throughe ligature. 3$
Te remove ſur. -fluouſe fingers. 39
To regenerate anye ſubſtance is the yvorcke of Natu-
reand not ofthe Chyrurgiane. 23
To ſtenche bloode by Cauteryes. z8
TraQtatione of the returnede Epoulis, 23
Transforaiion vvith an aQtuall Cauterye, 43
Transforatione in the Scrotum, 43
Trepaninge of the Breſt bone, 29
Tvvo ſortes of applicatione of the Seron. 43

Tvyvo ſortes of Ligamentes in generalic. 44
Tvyothinges to be c6liderede in drefſiinge of a yyo-

de, 45
Tvvo ſortes of inferiour ligamentes, 46
Tyinge,and thirde meanestocure the pallate 25

V

Vaynes vvhich burſt vvithia the braynes, 9
Vayne of the ftorchcade, 29
Vena pupis. 29
Vena lliaca, 30
Vena poplitis ibidem
Velvet Cauteryes. 41
Virtues of the aQtuall Cauterye. 3s
Virtues of the doggeda yes. 51
Virtues of modcratc ioy. 52
Viceratione Ranula,and originaii :werof, 24
Vnhealthſame poeple. 52
Vicof iudgemente. I
Vic, and inventione of ſoyvinge, 13
Vic of the pipe in the Dropſye. 20

Vie of the Pallate. 25

Vic, fituatione, & compoſitione of the Almondes.2z 5
Vieof theſe times concerninge the Variccs. 31
Vie of the horſelacches. 32
Vic of ſmal Boxes. 32
Vic of the actuall Cauteryes, 41
Vic of the potentiall Cauteryes. 41
Vrilityc of Inſcione, 7
Vrilitye ofthe Cauterycs. 40
Vrilitye in conſtitutione of a broken parte. 46

Vyva, 24
Vulgare, & c6mon poeple,can not ſoc deeply iudge,
& conſider of any thinge,as the Chyrurgiance. 53

VVecan not live vvithout ayre. S1

; VVe may not trepane that bone above the Eyebro-

vves: It
vve

Ce - XX -&®

Index.

yve may not ſoyve the lippes of an inflamed vyod. 14
yve may not proyoacke the cickerouſe excreſcEce of
the gummes,
yve may nottrepane the ſydes of the heade, 11
yve may right vvel trepane , on the ſydes of the ſuru-
res. ibidem

yye muſt endeyoure to drayve forth the bulletatthe |
s |

firſtdreſlinge.
yvemuſtnotatanye time leave our patientes; 6
yye muſt dilate the vvounde if the bone be dilacera-
rede.
yyve muſt in operatione dilligently conſider, that vve
doc notchaunce to breake anye Vaynes, Synnues,
Arteryes,or Tendones, I9&2
yve mult let the cloven Lippe, after the operatione is
done ſomvvhat blcede. 23
yve muſt nipe of the Needles endes {uckinge in the
cloven Lippes. 23
yve muſt not purge in the doggedayes, «1
yvc oftentimes finde harde matterin the Vicetations
Atcromara, Stcatomata,and Melicerides. 19
yve ought not all times to trepane, 20
yvhata Chyrurgianc ought to knovve , ingivinge of
his iudgemente. 2
yvhataſtringent medicamentes, the patient muſt vic
in the bloodye flixe. 48
yyhat Apoſtcmations vvilbe openede before their

complete ripencs. 17
vyhat forme the (carchinge iron mult be of, 9
vvhat forme a Needle mult have. 14

vyhat forme the threde in ſovving oſa yyounde mult

have. ibidem
yyhat his meates, & drinckes muſt be. 48
yyhat manner of threed and nedle vyc muſthavein

ſovvinge of the bellye. 17
vyhat Ligamente: arc. 43
vyhatis required tv the reſanatione of yyoundes. 52
yyhatis to be vaderitoode by the lettlippe of a vvou-

de, 17
vvhar places may beare trepanatione. I1
vyhatqvantiiye of bone vve ought to trepane., 12
vyhat ſometimes deceaveth the Chyrurgiane, 7

vyhat this vvorde operatione lignificth, I
yyhat vve ought to judge out of the accidEtes of yyol-
des. 2
yyhar vve ought to doe the Dura mater beinge cruſ-
hede. 13
vvhat vve ought todoe vvhe the diſcendede & ſyyol-
len guttci not be agayn reſtored into his place. 16

vyhat yyc ought to conlider before vve make the aper \

23 |

|

- O—

|

—<I””

q—_—

rioneinan Apoſtematione. 17
vvyhat vve ought to eſtceme of the bleedinge of the
gummes. 27
vyhar vve oughitty doe vyhen vve perceave the fayn-
unge to approche the phlebotomiled paticnt. '29

_ vvc oughttodee before yve vic the hore lee-
ches.

; D
Vvhat vyhe oughttodoin a deepe Caric. ny
vvhat yyoundes of the hype are. 2
vvhen,and yyhyc the extetaall parts mult be extirpa-

tede. 37

vyhen that the reporte muſt be&one.

vvhe the Apoltemation muſt beypened VVith a PF .
rerye;

2 N 17
vvhe vve ought only to vie the exfoltyiye tre panc.12
vvhen yve oughtto open an Aroſtemwigne, 1
vvhen vye oughttocutavvay the pallate, 24

vvherby vve rhay knovy the vvindy-hernia.
vvherin conliſteth the daunger of drayvin
bullets, ;
vvheron vve ought tocolider before phlebotomy, , -
vvheron yve ought toconlider in the applicationeyf
the Cauteryes. 4.3
vvheron in ligatione vve ought to conſider;
vvhervvith the vyolde is made mutt be colidered 5 ;
vvhichare ſtrange thinges. $
vvhye the yyounde in extrattinge of a bullet mut be
dilated. 6
vvhye vve may not in the reſovving ofa vyounde da.
vvethelippesclote together. ;
vyhye the threde in ſovying of a vyounde may not te
dycde. {A
vvhye vvec file teeth. 27
vvhye vve muſt givea ſtafte to them in their hande:
vYhich vve Phlebotomize.

21

2ZEtorth of

23
vvincis neccſlaryec tor all combattantes. 53
vvombe beinge hurte, 4
vyoundes of the Lunges. 3
vvoundes of the Kidnyes. F
vvoundes that are daungeroule. 2
vyoundes that be dithcult ro cure. 1bikMm
vvyoundes yyhichare eſteemed incurable, ibdem

FINIS.

IMPRINTED
At Dort by Iſaac Canm.
M.D. xc.

#5
.

4a

.
?
C 1£498 LF
8.15; '
REPRODUCED FROM THE COPY IN THE
HENRY E. HUNTINGTON LIBRARY
FOR REFERENCE ONLY, NOT FOR REPRODUCTION *
Pt
3